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This study incorporated Axis-II and Axis-IV factors in DSM-IV to test the relationship between predicted risk for violence assessed in the psychiatric emergency room and actual violence during hospitalization. Psychiatric nurses lack an objective instrument to use during the acute psychiatric assessment. The retrospective study comprised consecutive psychiatric admissions (n = 161) in one tertiary veterans' hospital. Statistical testing for the predictive power of risk factors, relationships between variables, and violent events included nonparametric tests, factor analysis, and logistic regression. Of the 32 patients who committed violence during hospitalization, 12 had committed violence in the psychiatric emergency room. Statistical significance was shown for violent incidents and dementia, court-ordered admission, mood disorder, and for three or more risk factors. The 13-item Risk of Violence Assessment (ROVA) scale suggests validity and sensitivity for rating DSM-IV factors and psychosocial stressors to predict risk for violence during hospitalization. Replication studies are recommended to strengthen validity of the ROVA scale.
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Purpose – The purpose of this paper is to review and categorize the different strategies Master of Business Administration (MBA) programs have adopted towards incorporating environmental sustainability into business administration. Design/methodology/approach – Through extensive internet research looking at colleges and universities, data are collected from primary source web sites and administrative school contacts. There are 35 institutions whose MBA programs address sustainability in some way. Each of these institutions is then organized by location, tuition cost, enrollment, year founded, accreditation, and curriculum. Findings – Green educational strategies differentiate themselves by the size and maturity of the program. Larger, established institutions typically opt for the green major, or a dual degree, and tend to leave systematic integration of sustainability to the individual student. Newer and smaller entrants tend to either dabble in green with a few sustainability courses, or completely embrace and systemically integrate sustainability throughout the program. Research limitations/implications – The sample focuses on US institutions and treats sustainability as an externally validated curricular choice when it may merely be an educational fad. The sample excludes potential green MBA programs that lack a strong internet presence. Practical implications – Four archetypes are identified: dual degree, all-green, green major, and green coursework. Institutions can analyze their performances and see where they fall on the two major continua – integration and maturity/size. Originality/value – Green MBA programs are relatively new on the academic landscape, and this research paper is one of the first to systematically analyze and categorize them. © Emerald Group Publishing Limited.
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In this archival study, life events were identified that served as precursors to identity transitions in 149 European American, African American, Mexican American, and Puerto Rican women. The data were collected during a period from the late 1970s to the early 1980s in the United States. Participants were interviewed and asked to describe events that had influenced their understanding of themselves. Events were coded into relational, career, education, personal, health-related, and miscellaneous categories. Results indicated that women were more likely to report life events regarding their relationships than events in other categories. A reexamination of the data revealed that that there were more similarities than differences among the racial and ethnic groups in terms of the life events described. Respondents were more likely to report continuity than change in their identities in response to life events serving as possible precursors to change. Results also revealed that when change did occur, it was associated with high levels of conflict particularly for the domains of relationships and educational achievement expectations. © 2011 Copyright Taylor and Francis Group, LLC.
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In 1785, William Ludlam wrote a book entitled The rudiments of mathematics. After I purchased the 1790 edition of this text some years ago at an antiquarian bookstore in Connecticut, I became interested in learning more about him. Ludlam's name had appeared as a footnote in several histories of mathematics, but little else had been written about him. I began some research, simply out of curiosity. What emerged was a story of an interesting mathematician, scientist, inventor, and clergyman - and a man who often found himself in the middle of controversy and subject to personal attacks, whether deserved or not. This article is a biography of Ludlam, in which I have used his own words, as well as those of his adversaries, wherever possible. © 2011 British Society for the History of Mathematics.
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School nurses are involved in a complex framework of interactions with students, other professionals, parents, and administrators. Trust between nurse and student is critical for interaction effectiveness. The goal of this study was to understand through phenomenology the process of engendering trust in school nurse-high school student interactions. The qualitative approach explored school nurse perceptions of experiences interacting with students, yielding insights into nurse- and setting-based factors contributing to the development of trust. Subthemes within these included key behaviors and attributes enhancing trust engenderment in school nurse-student interactions. Study findings were well supported by the existing nursing and psychological research literature. Nurses that purposefully strive to develop trust in young people will maximize adolescent health results.
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Parental knowledge is defined as parental awareness and information about a child's activities, whereabouts, and associations that is obtained through parental monitoring, parental solicitation, or self-disclosure. Increased parental knowledge is generally associated with lower adolescent substance use; however, the influence of various contextual factors, such as adolescent gender and grade level is not well understood, particularly for different racial or ethnic groups. In the present study, we used Hierarchical Generalized Linear Modeling analyses to examine the longitudinal relationship of parental knowledge to adolescent substance use in the context of adolescent gender and grade level among 207 urban African American adolescents in grades 6-11. Results indicated that increased parental knowledge is associated with a concurrent lower likelihood of substance use across all types of substances examined (alcohol, tobacco, marijuana, other drug use, and any drug use), but it did not predict changes in substance use 1 year later for the entire sample. However, analyses by gender and grade level showed that for boys and middle school youth, parental knowledge was a protective factor for increases in substance use across 1 year. Findings are discussed in terms of their implications for prevention and health promotion interventions for adolescent substance use among African American youth.
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The objectives of this study were the following: (1) describe one organization's experience with recruiting minority-serving private practice primary care physicians to an ambulatory quality improvement (QI) project; (2) compare and contrast physicians who agreed to participate with those who declined; and (3) list incentives and barriers to participation. The authors identified eligible physicians by analyzing Medicare Part B claims data, a publicly available physician database, and office staff responses to telephone inquiries. The recruitment team had difficulty identifying, contacting, and recruiting eligible physicians. Solo practitioners and physicians who had lower scores on certain quality measures were more likely to participate. Barriers to participation were similar in all practices and included concerns about extra work, difficulty of change, and impact on office work flow. Commonly used incentives were offered but were not universally embraced. Additional work is required to refine the process of physician recruitment and to find more compelling incentives for QI.
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Many new nursing leaders assuming deanships, assistant, or interim deanships have limited education, experience, or background to prepare them for the job. To assist new deans and those aspiring to be deans, Jana L. Pressler, PhD, RN, and Carole A. Kenner, PhD, RNC-NIC, FAAN, the editors of this department, address common issues, challenges, and opportunities that face academic executive teams, such as negotiating an executive contract, obtaining faculty lines, building effective work teams, managing difficult employees, and creating nimble organizational structure to respond to changing consumer, healthcare delivery, and community needs. In this article, the editors asked guest author, Dr Cesarina Thompson, to discuss the transition process from faculty to administrative role.
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Many new nursing leaders assuming deanships, assistant, or interim deanships have limited education, experience, or background to prepare them for the job. To assist new deans and those aspiring to be deans, Jana L. Pressler, PhD, RN, and Carole A. Kenner, PhD, RNC-NIC, FAAN, the editors of this department, address common issues, challenges, and opportunities that face academic executive teams, such as negotiating an executive contract, obtaining faculty lines, building effective work teams, managing difficult employees, and creating nimble organizational structure to respond to changing consumer, healthcare delivery, and community needs. In this article, the editors asked guest author, Dr Cesarina Thompson, to discuss the transition process from faculty to administrative role.
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Many new nursing leaders assuming deanships, assistant, or interim deanships have limited education, experience, or background to prepare them for the job. To assist new deans and those aspiring to be deans, Jana L. Pressler, PhD, RN, and Carole A. Kenner, PhD, RNC-NIC, FAAN, the editors of this department, address common issues, challenges, and opportunities that face academic executive teams, such as negotiating an executive contract, obtaining faculty lines, building effective work teams, managing difficult employees, and creating nimble organizational structure to respond to changing consumer, healthcare delivery, and community needs. In this article, the editors asked guest author, Dr Cesarina Thompson, to discuss the transition process from faculty to administrative role.
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