1,017 research outputs found

    Prevention strategies of the risk of violence and aggression towards nurses in renal units

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    BackgroundNursing, between healthcare professions, is the most at risk of violence and aggression. Most healthcare organizations rely on training as the primary strategy for the prevention of violence. Very little is known about the key factors for prevention against nurses: staff education, training and risk assessment.ObjectivesThe aim is to verify if the number of observed episodes of violence and aggression in renal units are associated with structural and prevention managerial strategies.DesignAn observational, cross-sectional study.ParticipantsThey were part of a convention sample of participants in the European Dialysis and Transplant Nurses Association/European Renal Care Association Conference of 2019, who understood the English Language and had a smartphone or tablet.MeasurementsThe tool used was a questionnaire developed by Zampieron in 2010, with closed questions, focused on violence and aggression's prevention and management.ConclusionsIn conclusion our study found that organizational and managerial strategies to address violence and aggression are highly correlated with observed violence in unit. Nurses are encouraged to become proactive by participating in prevention committees and policies, attending prevention training offered by unit, and reporting all incidents including those witnessed

    Nurse‐perceived facilitators and barriers to palliative care in patients with kidney disease: A European Delphi survey

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    Background:The palliative care phenomenon is increasingly invested in all medicine and nursing fields, as care for people with kidney disease who do not wish to embark on dialysis: it encompasses a palliative approach to shared decision-making. To deliver patient-centred optimal care, nephrology healthcare staff should be knowledgeable about palliative care and the appropriate conservative management approach.Objective:This paper aimed to explore, using a Delphi survey, the barriers and facilitators to palliative care in patients with kidney disease.Design: An e-Delphi technique with three questionnaire rounds was performed; statements were generated using Likert scales. Participants and Measurements: A list of 80 statements related to palliative care in patients with kidney disease was divided into facilitators and barriers. Questionnaires were administered to 13 nephrology nurse experts in some European countries. Results: Seven items were removed from the list of 80 statements after the first round of the Delphi study; eight items achieved a significant change of the mean between round two and three, whereas internal stability emerged in all the remaining items. Conclusions: Specific training and education in palliative care emerged as a facilitator, as well as the role of spiritual and beliefs and the role of family and caregiver. The main barriers were represented by the differences in cultures, beliefs, and practices and by the lack of experience in the role of the staff in palliative care. These statements provide a platform for future research to improve palliative care practice in patients with kidney disease.</p

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    Background: Children who develop Acute Kidney Injury may start renal replacement therapy (RRT) in Paediatric or Neonatal Intensive Care Units (hereafter PICU or NICU); RRT can be delivered either by paediatric dialysis nurses or by critical care nurses. In both case, nurses devoted to this task must have a high level of competence in providing care to children receiving haemodialytic treatment in a specific technological environment. Aim: The objective of this research was to investigate which models have been adopted to organize nursing care in RRT management in different Italian PICU and NICU, and to explore the training of ICU nurses on the management of RRT. Methods: A multi-centre survey was conducted through an online questionnaire directed to the Italian PICU and NICU nurse coordinators. Results: A total of 15 Intensive Care Units (12 PICU and 3 NICU) in 12 hospitals were involved. The mean nurse/patient ratio in these units is 1:3. In 72.7% of critical care units, dialysis treatment is delivered by critical care nurses belonging to the unit itself, while in 27.3% of units paediatric dialysis nurses are in charge of dialysis treatment in collaboration with critical care nurses. In 25% of surveyed units there is some structured form of collaboration between Paediatric Dialysis nurses and critical care nurses. However, 75% of units did not respond to this specific question. The different units adopt various forms of RRT training for nursing staff. Conclusion: The scenario resulting from this analysis showed how in our sample of Italian hospitals there is no standard practice for RRT nursing management. In addition, although various forms of training for nursing staff exist, a proper educational programme and/or a standardized specific training about RRT management for nursing staff is not in place in the surveyed hospitals. Relevance to clinical practice: The lack of standardized protocols or guidelines for RRT delivery to critically ill children can compromise their safety. The structuring of these protocols and the production of best clinical practice guidelines would allow standardization of the nursing management of the RRT and of the corresponding training. This may help to provide the proper care and to guarantee the patients' safety

    Veronica mas, Spirea, Barbarea

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    1. Nome scientifico: Veronica chamaedrys L. (Scrophulariaceae) Nome attuale: Veronica comune 2. Nome scientifico: Spiraea hypericifolia L. (Rosaceae) Nome attuale: Spirea spagnola 3. Nome scientifico: Barbarea vulgaris r. Br. (Brassicaceae, Cruciferae) Nome attuale: Erba di Santa Barbar

    Plastic cannulae versus metal needle cannulation in haemodialysis: Results of an international survey from the nurse perspective

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    BACKGROUND: In haemodialysis is key to successfully obtaining cannulation of the arteriovenous fistula (AVF). The literature agrees that cannulation, failing in the initial maturation period, can lead to delayed dialysis, haematoma, scarring, needle phobia and loss of confidence in the cannulator. The introduction of plastic cannulae for haemodialysis has changed cannulation practice positively, preventing frequent complications such as infiltration or trauma. Despite that, most countries have continued to use metal cannulation, in particular in Europe. This study investigates the common use of plastic cannulae versus metal needles for cannulation in dialysis units and explores the implications of focusing on the side effects of cannulation.METHODS: The study is a cross-sectional survey. A questionnaire was created by a team of experts from the European Dialysis Transplant Nurse Association/European Renal Care Association (EDTNA/ERCA) to address the study's aims and sent online to nurse members.RESULTS: Data collected suggested a strong resistance towards using plastic cannulae, with few respondents claiming to use these cannulas. Most of the respondents were female (74%), Europeans, working in nephrology for more than 10 years and most worked in the public sector. There was a strong correlation between the use of plastic cannulae and fewer adverse events in elbow located AVF and newly created or fragile AVF.CONCLUSIONS: The results are in line with the current literature. Possible resistance to the use of the plastic device includes the difference in cost between the two devices in favour of metal needles. However, it should be considered that the lower number of adverse events, in particular infiltration and haematoma caused by the metal needle, involves a considerable saving both in money and in terms of time and distress for the patient.</p

    Veronica alpina (Alpine Brooklime) : Alpine Brooklime

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    Class: Dicotyledoneae Family: Scrophulariaceae Genus: Veronica Species: alpin

    Veronica peregrina (Hairy Speedwell) : Hairy Speedwell

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    Class: Dicotyledoneae Family: Scrophulariaceae Genus: Veronica Species: peregrin

    Ep. #024 - Veronica Strang

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    This recording and transcript form part of a collection of podcasts conducted by the Cultures of Energy at Rice University. Cultures of Energy brings writers, artists and scholars together to talk, think and feel their way into the Anthropocene. We cover serious issues like climate change, species extinction and energy transition. But we also try to confront seemingly huge and insurmountable problems with insight, creativity and laughter.Water, water everywhere. The human sciences have become animated by the politics, ethics and materiality of water of late and for good reason. Our guest (11:13) on this week’s Cultures of Energy podcast was one of the first to get this conversation started. Anthropologist Veronica Strang, currently Executive Director of the Institute for Advanced Study at Durham University, is the author of The Meaning of Water (Oxford, 2004) and Water: Culture and Nature (Reaktion, 2015) and a recipient of UNESCO’s International Water Prize. We talk about how the transgressive and transformative properties of water cut across cultures and how its material liquidity complicates our cultural and legal understandings of ownership and property. Veronica explains why we have to think water across scales, from its mediation of individual bodies to how its flows form communities. We talk about the infamous case of Bolivia’s water privatization, efforts to enclose water resources across the world and how contemporary politics of water are undermining democracy. Veronica also reminds us though that efforts to centralize control over water are ancient and that the movements that are now seeking to decentralize water resources also have hope. In closing we discuss cosmological and mythological water beings ranging from rainbow serpents to Chinese water dragons to the Lambton Worm, reputed to live in Durham’s own River Wear. Is our concern with hydration and floods these days informed by the moral economy and sacred vitality of water? Has urbanization caused us to lose touch with the hydrological cycle that so powerfully informed the cultural imaginations of our ancestors? Pour yourself a glass of water and listen on

    Lilium convallium flore pleno, Veronica minima, Liliu conualliu, Consolida media

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    1. Nome scientifico: Convallaria majalis L. cv. (Liliaceae) Nome attuale: Mughetto 2. Nome scientifico: Veronica prostrata L. (Scrophulariaceae) Nome attuale: Veronica sdraiata 3. Nome scientifico: Convallaria majalis L. (Liliaceae) Nome attuale: Mughetto, Giglio delle convalli 4. Nome scientifico: Ajuga reptans L. (Lamiacee, Labiatae) Nome attuale: Bugula, Erba di San Lorenzo, Consolid

    The content of fatty acids in lipophilic extracts of Veronica chamaedrys L. and Veronica officinalis L.

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    Marchyshyn S. M., Milian I. I. The content of fatty acids in lipophilic extracts of Veronica chamaedrys L. and Veronica officinalis L. Journal of Education, Health and Sport. 2016;6(3):91-96. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.47673 http://ojs.ukw.edu.pl/index.php/johs/article/view/3427 https://pbn.nauka.gov.pl/works/720389 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.01.2016. Revised 12.02.2016. Accepted: 27.02.2016. UDC 615.32+661.732.7]-092.4 THE CONTENT OF FATTY ACIDS IN LIPOPHILIC EXTRACTS OF VERONICA CHAMAEDRYS L. AND VERONICA OFFICINALIS L. S. M. Marchyshyn, I. I. Milian SHEI «I.Ya. Horbachevsky Ternopil State Medical University Ministry of Health of Ukraine» S.M. Marchyshyn, doctor of pharmacy, professor, I.I. Milian, master of pharmacy Summary There is indicated the results of the investigation of lipophilic fraction obtained from the herbs of Veronica chamaedrys L. and Veronica officinalis L., determined the yield of the lipophilic fraction in relation to the raw materials, settled the content of fatty acids in lipophilic extract. It is noted that linoleic and linolenic fatty acids dominated in the investigation materials. Keywords: fatty acids, herb, Veronica chamaedrys L., Veronica officinalis L., a gas chromatography-mass spectrometry
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