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Clear Message (clear + message)
Selected AbstractsClear messages from sonographic shadows?JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Issue 10 2003Links between metabolic disorders, liver disease, what to do about them No abstract is available for this article. [source] New alternative and complementary environmental policy instruments and the implementation of the Water Framework DirectiveENVIRONMENTAL POLICY AND GOVERNANCE, Issue 6 2008Andy Gouldson Abstract Based on a study conducted for the Environment Agency for England and Wales, we discuss the contribution that new alternative and complementary environmental policy instruments might make to the realization of the objectives of the EU's Water Framework Directive. Following a survey that identified nearly 100 examples where alternative and complementary instruments are currently being applied in the UK, we categorize such instruments as information-based approaches, private and voluntary regulation or support and capacity building measures. Examples are given of each category of instrument before further findings on the preconditions for the successful application of such measures are presented. These preconditions relate to levels of commitment from key groups, levels of stakeholder understanding, the role of the lead actor, the importance of timing, the need to deliver a clear message, the importance of enforcement, the role of the media and the importance of social capital in key networks. We conclude that alternative and complementary measures have significant potential to contribute to the realization of the Water Framework Directive's objectives, but only where these preconditions are met. Copyright © 2008 John Wiley & Sons, Ltd and ERP Environment. [source] Providing direct care nurses research and evidence-based practice information: an essential component of nursing leadershipJOURNAL OF NURSING MANAGEMENT, Issue 1 2010BETH A. STAFFILENO PhD staffileno b.a. & carlson e. (2010) Journal of Nursing Management 18, 84,89 Providing direct care nurses research and evidence-based practice information: an essential component of nursing leadership Aims, This commentary describes the reasons, strategies and benefits of providing direct care nurses with research and evidence-based practice (EBP) education. Background, A component of nursing leadership is to provide nurses opportunities for professional growth and development, yet this can be challenging during a time when resources are constrained and need to be used wisely. Evaluation, Our research and EBP education programmes have been evaluated qualitatively, as well as by the number of research/EBP projects implemented. Key issues, Providing direct care nurses with support and additional education empowers them to seek, critically appraise and integrate research findings into their daily patient care. Conclusions, Direct care nurses, who participated in our programme, demonstrated a strong desire to learn about research and EBP so they could practice using evidence-based care with confidence, thus transitioning from a ,tradition-based' care approach to an evidence-based way of providing care as the standard for nursing practice. Implications for Nursing Management, Providing a dedicated time for additional education sends a clear message that research and EBP are important elements embedded in patient care. The organisation, then, is seen as an environment that emphasizes the value of research and EBP at the unit and organisational level. [source] Managing complex workplace stress in health care organizations: leaders' perceived legitimacy conflictsJOURNAL OF NURSING MANAGEMENT, Issue 8 2009LOTTA DELLVE RN, MScPH Aim, To conceptualize how health care leaders' strategies to increase their influence in their psychosocial work environment are experienced and handled, and may be supported. Background, The complex nature of the psychosocial work environment with increased stress creates significant challenges for leaders in today's health care organizations. Method, Interviews with health care leaders (n = 39) were analysed in accordance with constructivist grounded theory. Results, Compound identities, loyalty commitments and professional interests shape conditions for leaders' influence. Strategies to achieve legitimacy were either to retain clinical skills and a strong occupational identity or to take a full leadership role. Ethical stress was experienced when organizational procedural or consequential legitimacy norms were in conflict with the leaders' own values. Leadership support through socializing processes and strategic support structures may be complementary or counteractive. Conclusions, Support programmes need to have a clear message related to decision-making processes and should facilitate communication between top management, human resource departments and subordinate leaders. Ethical stress from conflicting legitimacy principles may be moderated by clear policies for decision-making processes, strengthened sound networks and improved communication. Implications for nursing management, Supportive programmes should include: (1) sequential and strategic systems for introducing new leaders and mentoring; (2) reflective dialogue and feedback; (3) team development; and (4) decision-making policies and processes. [source] Infants admitted to neonatal units , interventions to improve breastfeeding outcomes: a systematic review 1990,2007MATERNAL & CHILD NUTRITION, Issue 4 2008Rhona J. McInnes Abstract This review aimed to identify interventions to promote breastfeeding or breast milk feeding for infants admitted to the neonatal unit. The medical electronic databases were searched for papers listed between 1990 and June 2005 which had breastfeeding or breast milk as an outcome and which targeted infants who had been admitted to a neonatal unit, thus including the infant and/or their parents and/or neonatal unit staff. Only papers culturally relevant to the UK were included resulting in studies from the USA, Canada, Europe, Australia and New Zealand. This search was updated in December 2007 to include publications up to this date. We assessed 86 papers in full, of which 27 ultimately fulfilled the inclusion criteria. The studies employed a range of methods and targeted different aspects of breastfeeding in the neonatal unit. Variations in study type and outcomes meant that there was no clear message of what works best but skin-to-skin contact and additional postnatal support seemed to offer greater advantage for the infant in terms of breastfeeding outcome. Galactogogues for mothers who are unable to meet their infants' needs may also help to increase milk supply. Evidence of an effect from other practices, such as cup-feeding on breastfeeding was limited; mainly because of a lack of research but also because few studies followed up the population beyond discharge from the unit. Further research is required to explore the barriers to breastfeeding in this vulnerable population and to identify appropriate interventions to improve breastfeeding outcomes. [source] ADOPTION AND PRODUCTIVITY IMPACT OF MODERN RICE VARIETIES IN BANGLADESHTHE DEVELOPING ECONOMIES, Issue 2 2006Mahabub HOSSAIN O13; O33 Technological progress has helped Bangladesh to achieve self-sufficiency in rice production in 2001 from a heavy import-dependence, despite doubling of population and a reduction in arable land since its independence in 1971. As the adoption of modern varieties (MV) of rice is reaching a plateau, particularly for the irrigated ecosystem, an important issue is whether the research system will be able to sustain the growth of production. The present paper addresses the following questions: (i) to what extent farmers have been replacing the old MV with the new MV, and (ii) what has been the impact of the variety replacement on productivity and profitability. How crucial is the continuous research and release of improved rice varieties toward improving farm production and income for farmers comes out as a clear message to policymakers from the current paper. [source] Empowerment in parents of school-aged children with and without developmental disabilitiesJOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Issue 12 2005J. S. Nachshen Abstract Background Despite the widespread use of the term ,empowerment' in clinical literature to describe both a desirable process and the outcome of service delivery, the term remains more of a theoretical than practical construct. This study examined the factors that contribute to empowerment in parents of school-aged children with and without developmental disabilities (DD) using the Double ABCX model of family adaptation contrasted with the linear ACBX model. Methods Parents of children with (n = 100, 97% mothers) and without (n = 100, 98% mothers) DD completed questionnaires relating to child behaviour problems, parent stress and well-being, and formal and informal support. Structural equation modelling was used Results Parents of children with DD reported more child behaviour problems, more stress, less well-being and more social support than parents of children without DD. Structural equation modelling supported the ACBX model for both groups. A linear relationship was found in which parent well-being and resources mediated the relationship between the stressor (child behaviour problems) and the outcome (empowerment). Conclusions The results of the current study support Hastings and Taunt's assertion in 2002, in that empowerment was adequately explained using a traditional model of family functioning. The significant prediction offered by the parent's resources points to the need to deliver services in a manner that is more family-centred. In the education system, this means providing parents with clear messages regarding the schools goals, clarifying the parent's rights and responsibilities, including the parent in planning and decision making, respecting their knowledge as caregivers and supporting their hopes for their child. [source] Equality, Fairness and Rights , The Young Person's VoiceBRITISH JOURNAL OF SPECIAL EDUCATION, Issue 3 2002Paul Hamill This article presents findings from a one,year research project undertaken by experienced researchers and practitioners from the University of Strathclyde. Eleven comprehensive schools in Scotland were involved and the aim of the study was to evaluate the effectiveness of in,school support systems for young people who display challenging behaviour. Pupil Support Bases (Pupil Referral Units) had been set up in most of the schools aimed at reducing exclusion rates and these were examined from the perspective of all stakeholders , teachers, parents, young people and key inter,agency personnel. The specific focus of this article is the views of the young people who, although often perceived as disruptive, disaffected and troubled, were surprisingly articulate. They had clear messages for all professionals and, in this article, Paul Hamill, Head of the Department of Educational Support and Guidance, and Brian Boyd, a Reader in the Language Education Department, ensure that their voices are heard. [source] | |||||||||||||