infarction (AMI) patients eligible for enrollment in the study. Dr. Silverman questioned the safety of transfer of the AMI patient. Although his concerns are valid, all emergency medical systems that would be transferring AMI patients are trained in advanced cardiac life support. These systems should be able to resuscitate AMI patients, as well as the staff in the emergency department or intens...

This article describes the architectural design of a secure forensic state psychiatric hospital. The project combined input from staff at all levels of the client organization, outside consultants, and a team of experienced architects. The design team was able to create a design that maximized patient dignity and privacy on one hand, and the ability of staff to observe all patient activity on t...

OBJECTIVES Cranial computed tomography (CT) is replacing skull radiography in head trauma. Rapid radiological opinions on these images may not always be available. We assessed the ability of our permanent emergency department staff to interpret the images. METHODS A retrospective series of 100 consecutive cases was reviewed and interpreted by five permanent emergency department medical staff,...

Violence in elderly care has been reported on a global scale. The aim of this study was to describe nurses' perceptions of threats and violence, directed at themselves and other staff in community elderly care. Another aim was to describe nurses' access to prevention measures for handling threats and violence. A questionnaire was answered by registered nurses (RNs) (n=213) in community elderly ...

Concept mapping (CM) has been used to help nursing students develop critical thinking skills and improve clinical judgment. CM is being used with greater frequency in health profession education settings to visually represent thought processes and links between variables that affect decision-making and patient outcomes. The objective of this pilot study was to evaluate the effectiveness of CM a...

General hospital staff is experienced in dealing with the death of a patient. However, aside from cases of sudden death among psychiatric inpatients, psychiatric medical staff faces such situations considerably less frequently. Many chronic psychiatric patients do not have a family or home, a situation which may become even more painful if the patient is dying of a physical illness. Coping with...

Evidence now suggests that some people can exert some degree of control over seizure initiation and inhibition. In order to explore this further, 79 young people with epilepsy, attending specialist residential schools, were interviewed regarding awareness of seizure precipitants; recognition of seizure warnings; attempts at seizure inhibition, and ways of self-inducing seizures. Questionnaires ...

Investment in early childhood education (ECE) is seen as key to improving life chances for children from economically disadvantaged backgrounds. Children nomadic backgrounds often face difficulties accessing ECE services because of geography, lack and the mobility families. However, provision these important reducing educational inequalities between non-nomadic well school readiness. Mongolia’s...

BACKGROUND Nursing students often care for older people with dementia during placements. The quality of the students' experience is important. AIM To explore adult nursing students' experiences of caring for older people with dementia in hospital. METHOD Four focus groups were conducted at one English university. The data were analysed thematically and this article presents the challenges t...

This study elicits effects of experienced aggressive behavior and perceived self-efficacy in coping with aggressive behavior on the dimensions of burnout of staff caring for the elderly (N = 551). From the results of the hierarchical regression analysis it appears that physical and psychological aggression and the number of weekly working hours has an effect on emotional exhaustion of staff. Ps...