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"Making space” through somatic practices of self-awareness and care
Published in Lacie White, Palliative Care Nursing as Mindfulness, 2022
Like other turns, this one is divided into two sections. In the first section, I focus on somatic methods that help meet the moral impulse toward compassion and caring. In the second section, I continue to discuss various somatic methods nurses in this inquiry practice; the focus of this section is related to when/where/how nurses pause, listening in-to body, not solely for words, but for the visceral sensations present. These pauses then creatively inform what methods nurses engage in to care for self and others through ‘the big stuff.’ The ideas and stories presented in both sections of this turn are deeply integrated; therefore, there is notable overlap (perhaps all moments can be imbued with a ‘moments pause’?). Three interwoven story threads are also continuously returned to within both sections, where I discuss the cultivation of somatic methods through practices of self-care, self-awareness, and caring (with-in) community (again, see Table 1.1, on p. 7, for a summary of these three guiding story threads).
Wound Healing, Ulcers, and Scars
Published in Ayşe Serap Karadağ, Lawrence Charles Parish, Jordan V. Wang, Roxburgh's Common Skin Diseases, 2022
Saloni Shah, Christian Albornoz, Sherry Yang
Consideration should be given to using pressure-relieving beds, such as the Clinatron® bed. Turning the bedridden patient should be done frequently, but there is no magic to a 2-hour turn schedule. Use of irritants, such as Betadine® or Daikin’s solution, should not be employed.
Pressure Wounds
Published in Stephen M. Cohn, Alan Lisbon, Stephen Heard, 50 Landmark Papers, 2021
As an amateur historian, I found it fascinating that the first known report of a pressure injury was recorded by an Egyptian physician in the 17th century BC. More than 3000 years later, the 16th century French surgeon, Ambroise Paré suggested using “… a little pillow of down to keep his buttock in the air, without his being supported on it” for treating sacral ulcers [1]. Three hundred years later, Édouard Brown-Séquard, a physiologist and neurologist known for his work on spinal cord physiology, recognized prolonged compression could result in ulceration of the skin [2]. Fast forward to today, nearly 4000 years after the first report, and we continue to struggle with preventing these injuries and the pain and indignity experienced by our patients. There is evidence, however, that suggests multiple variables affect nurse compliance with turning protocols: low prioritization, lack of an accepted definition of what constitutes an “effective” turn, ineffective methods to monitor a patient's position, and lack of reminders when a turn is due. My own research and personal experience have found that nurses do view pressure injury prevention as a high priority, but methods relying on manual reminders and self-report have little success in facilitating and improving compliance.
Effects of patient transfer devices on the risk of work-related musculoskeletal disorders: a systematic review
Published in International Journal of Occupational Safety and Ergonomics, 2023
Nur Shuhaidatul Sarmiza Abdul Halim, Zaidi Mohd Ripin, Mohamad Ikhwan Zaini Ridzwan
Apart from that, the use of an air-assisted device is associated with remarkably lower hand forces during lateral transfer as compared to the use of friction-reducing sheets and a sliding board. Air-assisted devices incorporate both the turn assist and maximum mattress inflation features to help reposition or laterally transfer the patients in bed. Both features have been found to significantly reduce the risk of WMSDs [17,42]. The turn assist feature that inflates air bladders above or beneath the mattress to tilt the patient efficiently requires a lower hand force, consequently lowering the spine compression loads in nurses when repositioning the patient. Wiggermann [20] discovered a significant decrease in physical stresses, including hand force and spinal compression load, when patients weighing between 63 and 123 kg were laterally repositioned in bed using air-assisted devices. The turn assist feature appeared to reduce spinal compression by moving the patient closer to the nurse and reducing trunk flexion of the nurse. This mechanism could explain how the turn assist feature was linked to a decreased hand force rather than spinal load (Figure 4). On the other hand, the maximum inflation feature of the air-assisted device was designed to inflate the air mattress further, thus minimizing the patient’s envelopment in the bed and reducing the contact area between the patient and the mattress. These factors will eventually reduce the physical stress on nurses when repositioning the patient.
Twelve tips for conducting medical education research via videoconference
Published in Medical Teacher, 2023
Fiona Osborne, Paul Paes, Janice Ellis, Charlotte Rothwell
Many of the usual cues to human conversation are lost in the videoconference environment (Mann and Stewart 2000; Varma et al. 2021). This is particularly problematic in group settings, and for focus groups which rely on analysis of participant–participant interactions (Bryman 2016). Resonant with the medical education literature, in our post-participant survey, respondents identified problems with turn-taking, knowing when to speak and the awkwardness of silences (Osborne et al. 2021; Schwenck and Pryor 2021). There does appear to be a tendency for participants to speak less in online videoconference environments, though the literature suggests data yielded by online focus groups is of equivalent richness despite reduced content (Abrams et al. 2015; Woodyatt et al. 2016; Varma et al. 2021). A solution to conversational ambiguity is to give participants clear instructions regarding desirable interaction processes, equivalent to the ‘ground rules’ advocated by experts in online focus groups (Lobe 2017; Varma et al. 2021). In the authors’ research, we gave increasingly explicit conversational guidance to participants which notably improved communication. An example statement is included in Figure 2.
Psychological decision-making process of construction worker safety behavior: an agent-based simulation approach
Published in International Journal of Occupational Safety and Ergonomics, 2023
Changquan He, Guangshe Jia, Brenda McCabe, Yuting Chen, Puwei Zhang, Jide Sun
The safety attitude of construction workers may be influenced by their education level, age, safety knowledge and other personal characteristics. Higher education levels may relate to clearer perceptions of safety rules and work risk, stronger personal involvement in safety and, thus, better safe working attitude [14]. The relationship between age and occupational injuries presented an inverted U-shape pattern [13]. A U-shaped relationship between age and job satisfaction was confirmed [22]. Thus, there might also be a U-shaped relationship between age and safety attitude. That is to say, as age increases, the safety attitude of construction workers may decrease gradually to some minima, and then increase again. Some of the reasons for this might be complacency [23] and motivation drivers [24,25]. Construction workers with 11–15 years of experience may take safety shortcuts [23] because they feel that they have mastered all of the necessary safety skills. This may in turn affect their safety attitudes and tempt them to not strictly abide by normal operating procedures. However, workers with more than 15 years of experience appear to overcome this temptation, resulting in better safety performance. In other words, middle-aged workers may show worse safety performance than younger and older workers [13]. Meanwhile, as construction workers master their safety knowledge, their attitudes toward safety and their enthusiasm to participate in safety activities improve [12,26].