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Interventions to Improve Nurse-Family Communication in the Emergency Department: A Scoping ReviewBissonette, Sarah 11 August 2023 (has links)
Background: Family members often accompany patients to the emergency department and play an important role in caring for the patient. Communication between nurses and family members has long been identified as a priority of care and an area needing improvement due to the increasingly busy nature of the emergency department. Good communication can improve patient outcomes, satisfaction with care and decrease patient and family anxiety.
Objective: To determine and describe what interventions exist to improve nurse-family communication during the waiting period of an emergency department visit.
Methods: A scoping review was completed following the Joanna Briggs Institution methodology: (1) identify the research question, (2) define the inclusion criteria, (3) use a search strategy to identify relevant studies using a three-step approach, (4) select studies using a team approach, (5) data extraction, (6) data analysis, and (7) presentation of results.
Results: The search yielded 1,771 articles of which 20 were included in the review. An additional 7 articles were found in the grey literature search. Results were analyzed using basic content analysis, reported using tables, figures, descriptive statistics and narrative synthesis and organized based on Peplau's Theory of Interpersonal Relations. A variety of pediatric and adult interventions were found targeting staff members and family members and took place worldwide. Two models were developed based on the results of this review: a communication model for triage nurses and one for all emergency department nurses.
Conclusion: Communication plays an essential role in emergency department nursing care. Communication skills training should be built into nursing curriculum, nursing orientation, triage training, and continuing education. Future research should focus on evaluating the effectiveness of interventions using a standardized scale, understanding the specific needs of family members and effectively teaching communication skills to emergency department nurses.
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The Room Pressure Spinelloid Phases of the NiGa2O4 - Ni2SiO4 SystemHammond, Robert Paul 08 1900 (has links)
<p> The ternary oxide system NiO - Ga2O3 - SiO2 has been studied in the temperature range 1400-1550°C at room pressure. Three phases, corresponding to the spinelloid phases I, II, and V, have been identified on the Ni2GaO4 (spinel) - Ni2SiO4 (olivine) join. These room-pressure phases are isostructural with the high-pressure spinelloid phases of the nickel aluminosilicate system. Single crystals of all three phases have been grown from a silica-rich melt and their crystal structures have been determined by X-ray diffraction. The structure refinements have revealed a strong ordering of the Ga and Si atoms on the tetrahedral sites of all three phases, as well as a clear correlation between spinelloid structure-type and composition. This correlation accounts for the increase in Ni2SiO4 content across the series spinel - phase V - phase I - phase II.</p> / Thesis / Master of Science (MSc)
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Det narrativa rummet : En narrativ analys av berättarstrukturen i The RoomKyldal, Adam, Eriksson, Adrian January 2022 (has links)
Denna uppsats undersöker vad som kan uppfattas som ’dåligt’ den narrativa strukturen i The Room (2003) och hur det kan bidra till filmens kulturella uppfattning som ’dålig’. Texten går också genom vad ’dålig’ film kan vara samt hur uppfattning om det kan bidra till uppfattning vad man bör fokusera på i stället i ett narrativ. Uppsatsen analyserar The Room genom Syd Fields treaktsstruktur för att se om filmen bryter konventionella berättarnormer. Uppsatsen tar även upp Robert McKees beskrivning av karaktärer och hur de intrigeras i narrativet och Alberto Baraccos hermeneutiska filmanalysmetod som metod för uppsatsen. Hermeneutik används i under analys av filmen för att förklara hur författarna tolkar händelseförloppet. Analysen svarar på uppsatsens frågeställningar om filmen följer konventionell berättarstruktur, vad som bygger upp narrativet i filmen och vilka aspekter som bidrar till filmens uppfattning som ’dålig’.
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Parlors and <i>Parler</i>: Turkish, European & American Conversations in the Construction of the Living RoomCevik, Gulen 11 June 2002 (has links)
No description available.
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Flexible Resource Utilization in HealthcareFerrand, Yann B. 01 October 2012 (has links)
No description available.
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Patient Room Design that Integrates the Personalized Ventilation System for Cross-Infection ControlLi, Jiaru 11 October 2021 (has links)
Many airborne diseases such as Coronavirus variants are spread from person to person by indoor air movement. This is of particular concern in healthcare environments such as hospitals. There is a significant body of research that suggests that indoor ventilation strategies such as personalized ventilation systems my help reduce the spread of these viruses. While there are studies related to the efficacy of air movement from personalized ventilation, there are very few studies that explore how best to integrate these systems into the design process for hospital patient rooms. This study focuses on how to integrate personalized ventilation (PV) and displacement ventilation (DPV) systems into patient room design. The aims of this study are to first, develop a procedure using the Choosing By Advantages approach to make design decisions related to the implementation for personalized ventilation and displacement ventilation in private and semi-private patient rooms to prevent cross-infection. Secondly, using this approach, design solutions are proposed for patient room layouts with PV and DPV in different locations. The study proposes the best locations and components of the PV and DPV ventilation air supply and exhaust. Further practical models/simulation rooms are required to test the impact of PV systems on patients' and nurses' daily activities. / Master of Science / Many airborne diseases such as Coronavirus variants are spread from person to person by indoor air movement. This is of particular concern in healthcare environments such as hospitals. New personalized ventilation systems place ventilation air directly at the patient bed and consequently can reduce the spread of these viruses by effectively managing in-room air movement. This study explores how best to make design decisions for the implementation of personalized ventilation systems into hospital patient rooms. Applying this decision-making approach, design solutions are proposed that integrate personalized ventilation with commonly used displacement ventilation in patient rooms.
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Approaching The Smokestack and WallStein, Mitchell Brandon 14 July 2017 (has links)
The re-use of any architecture site, whether it is empty or still holding a presence in remaining elements, creates a connection with the past. Formed by a retaining wall and smokestack, an outdoor room is the destination from which two paths direct the inhabitant. This room divides the site and is surrounded by two buildings designed as a library.
Through the use of additional architectural elements, frame and column, the inhabitant is guided along the two paths through visual and physical markers. The inhabitant can either move through the building and find framed views of the smokestack and outdoor room, or move around the building, descending the site towards the outdoor room. This project uses a series of perspective drawings to show the designated paths from the street to the outdoor room. / Master of Architecture
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Numerical Modeling of Room-and-Pillar Coal Mine Ground ResponseFahrman, Benjamin Paul 28 March 2016 (has links)
Underground coal mine ground control persists as a unique challenge in rock mass engineering. Fall of roof and rib continue to present a hazard to underground personnel. Stability of underground openings is a prerequisite for successful underground coal mine workings. An adaptation of a civil engineering design standard for analyzing the stability of underground excavations for mining geometries is given here. The ground response curve--developed over seventy years ago for assessing tunnel stability--has significant implications for the design of underground excavations, but has seen little use in complex mining applications.
The interaction between the small scale (pillar stress-strain) and the large scale (ground response curve) is studied. Further analysis between these two length scales is conducted to estimate the stress on pillars in a room-and-pillar coal mine. These studies are performed in FLAC3D by implementing a two-scale, two-step approach. This two-scale approach allows for the interaction between the small, pillar scale and the large, panel scale to be studied in a computationally efficient manner. / Ph. D.
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Urban RoomsAndreianu, Ioana Lucia 31 May 2012 (has links)
This thesis started as an exploration of spaces created with subtle light changes in atmosphere, spaces created for the sole purpose of lingering in, of relaxing in, during a hot summer day, winter or in a busy day, when all you want to do is get away from it all in a soul-comforting place.
Soon after, I realized that these spaces should have no other purpose than their simple existence, thus the idea of pavilions seemed to be the best fit for such a description.
After locating the pavilions in Ramnicu-Valcea, Romania, through the exploration of the place memory, the present conditions and materials, the project started to take shape.
The final project became a room within an urban setting. The pavilions, a series of five rooms connected by shape and materiality into two buildings, created in between a new plaza, a new urban space, a sixth room. / Master of Architecture
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930 sqft of ArchitectureClark, David B. 15 October 2010 (has links)
There is no primacy to Architecture.
For centuries architects have posited formulaic approaches to creating spatial environments. Bold maxims for design have defined entire periods and styles of architecture, and each subsequent postulation attempts to disprove the former by challenging its theories against imperfect realizations. Yet nearly all have the same fault; they prioritize characteristics of architecture, attempting to design according to absolutisms of thought and process. I believe this to be a dangerous mode of operation, as absolutisms can be extremely complex and difficult to grasp conceptually, let alone to manifest into realities. Reducing architecture to processes of selection, generalization, singularities, and priorities is just clever ways of dealing with complexity in an attempt to make the intangible tangible. This "reduction" and "simplification" can only hold value as a tool for the study and analysis of architecture, not its practice and execution. Although architecture is universally conditional, it has been assigned universal qualities over time in theory and practice. I believe time requires that those qualities be subject to change and reinterpretation so that architecture may maintain proper relevance, barring one constant: all qualities must exist by virtue of the others and cannot be seen independently; one quality is no more than an aspect of the others.
To better explore this notion, three criteria (qualities, generators) have been identified as a measure for critical analysis of three architectural research projects. They are built from a history of pre-defined criterion, named and redefined in an attempt to elevate a personal study and practice of architecture at a period in time. These projects have a high degree of personal influence and involvement, and so this becomes in a way a self-analysis in the study and practice of architecture. The intention of this compendium is to gain insight towards a personal definition of architecture through an analysis of architectural theory and precedence in comparison to work that is reflective of personal architectonics. In time, I hope it will have continued to develop. / Master of Architecture
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