The effect of high-fidelity simulation in medical nursing based on the healthcare simulation standards of best practice

Background:High-fidelity simulation has been demonstrated to make great progress in learning.However,there is still ongoing exploration on how to fully harness the advantages of this teaching method and enhance its effectiveness.This study conducted high-fidelity simulation in medical nursing based on the Healthcare Simulation Standards of Best Practice and evaluated its effect.Methods:The study was conducted from September 2019 to June 2020.A total of 82 undergraduate nursing students from a university in Shanghai participated in the high-fidelity simulation in medical nursing.The simulation design scale,educational practices in simulation scale,and students’satisfaction and self-confidence were used to evaluate the effect.Results:The mean score of simulation design scale was 4.06±0.63 with the mean scores of all dimensions being over 3.0.The mean score of educational practices in simulation scale was 4.14±0.56 with the mean scores of all dimensions being over 4.0.The mean scores of students’satisfaction and self-confidence were 4.07±0.72 and 3.89±0.58,respectively.Conclusion:Students reported high levels of simulation design and educational practices in simulation.They were also satisfied with learning and reported high levels of self-confidence.Some key points need to be considered so that the learning effects might be optimized.

An Overview of the New Listing Rules and Corporate Governance Best Practice in Sri Lanka

Corporate governance represents institutional structures and incentive mechanisms that are implemented in order to mitigate the principal-agent problem and to thus promote the long-term competitiveness of the firm. The purpose of this paper is to examine the nature of corporate governance best practice and the new listing rules in Sri Lanka. The paper discusses the evolution of the corporate governance best practice giving special reference to the new listing rules in Sri Lanka, Sri Lankan stock market overview and the importance of best practice governance for the developing economy of Sri Lanka. Corporate governance practices in Sri Lanka has made a progress towards best practice, but, this paper argues, that substantial reforms need to be implemented to effectively promote and sustain the accountability and transparency.

ZTE Recognized for Industry Best Practices as Frost & Sullivan's SDR Equipment Vendor of the Year

ZTE Corporation announced on February 9 that it had received the Best Practice Award for being Frost ＆ Sullivan＇s ＂2010 SDR Equipment Vendor of the Year.＂ This award recognizes ZTE＇s outstanding contribution to the development of Software Defined Radio （SDR） technology and the wireless communications industry.

Best Practices and Lessons Learned in the Implementation of Global Framework for Climate Services—Adaptation Programme in Africa: Tanzania-Experience

This paper provides an analysis and a description of the best practices and lessons learned in the implementation of the Global Framework for Climate Services Adaptation Program in Africa (GFCS-APA) focusing on Tanzania country’s activities. GFCS-APA was the first multi-agency initiative implemented under the Global Framework for Climate Services (GFCS) in two African countries, namely Tanzania and Malawi with funding from the Royal Government of Norway. In Tanzania, the programme was implemented in two phases from the year 2014 to 2021 in the three pilot districts of Kondoa, Longido and Kiteto located in Dodoma, Arusha and Manyara regions, respectively. The overarching goal of the programme was to enable better management of the risks caused by climate variability and change at all levels, from end-users to policy level, through development and incorporation of science-based climate information and prediction services into planning, policy and practice. The programme focused on bridging the gap between providers and users of climate information and products through development of user-driven climate services for food security, health and disaster risk reduction. This paper aimed to analyze lessons learned and best practices in the course of the implementation of the GFCS-APA phase I and II in Tanzania. A qualitative approach was employed to analyze the lessons learned and best practices, by extracting them and exploring further on their contribution to the enhancement of climate services, as well as their applicability and potentiality for scaling out in other regions within Tanzania, and in other countries. The results indicate the identified best practices and lessons learned contributed significantly in enhancing climate services, particularly in understanding, availability, accessibility, utilization, ownership and sustainability of climate services among users (farmers and pastoralists) of various gender, as well as intermediaries and decision-makers. Results also indicate the lessons learned and the documented best practices could influence the effectiveness of climate services in other areas, to address existing challenges in access, uptake and sustainability of climate services. The best practices and lessons learned could be considered for integration in the future projects or operational activities in other regions within the country and other countries, particularly in the developing world, including Sub-Saharan Africa.

THE STATE OF SUSTAINABILITY BEST PRACTICES IN CONSTRUCTION: A BENCHMARK STUDY

During the last decade,sustainability-related technologies and practices have become increasingly common among construction companies,both in the home office and on the job site.Multiple drivers are fueling this trend,including government policies for sustainability in capital projects and increased recognition of the benefits of sustainable practices in the private sector.However,the extent to which sustainability-related technologies and practices have been adopted by companies in the field has not been systematically documented.This study used semi-structured interviews and field observations to document the sustainability-related practices of 28 construction firms in the eastern United States.The purpose of the study was to benchmark current industry use of construction sustainability best practices.Findings of the study show that most firms have tried sustainability practices in the field on at least some of their projects,sometimes without being aware that those practices were related to sustainability.Considerable variation was observed among self-reported trial and adoption rates across the practices in the inventory.This study serves as a first step toward understanding why some sustainability innovations are being embraced more readily than others,and may lead to a better understanding of how to increase adoption of sustainability innovations.

Best practices for making high integrity lightweight metal castings-molten metal composition and cleanliness control

To make high integrity lightweight metal castings,best practices are required in various stages of casting and heat treatment processes,including liquid metal composition and quality control,casting and gating/riser system design,and process optimization.This paper presents best practices for liquid metal processing and quality assurance of molten metal in both melting and mold filling.Best practices for other aspects of lightweight metal casting will be published separately.

Nutrition Support Practices of Hematopoietic Stem Cell Transplantation Centers in China's Mainland

Summary:It has been identified that malnutrition can influence the immune system and time of engraftment,and it's also associated with increased incidence of complications,prolonged length of hospital stays,and transplant mortality and morbidity in patients undergoing hematopoietic stem cell transplantation(HSCT),so dynamic nutrition care is highly important.The aim of this study was to better understand the differences between clinical nutrition practices and international recommendations as well as possible barriers to the use of nutrition support in HSCT patients.An evidence-based nutrition support pathway was constructed through a systematic literature review to identify evidence and recommendations relating to the relevant issues.Then,a questionnaire consisting of 28 questions that focused on the 4 topics,namely,assessment and screening for malnutrition,nutrition support interventions,nutrition support in gastrointestinal graft-ver5U5・host disease(GVHD)and neutropenic diet was developed by the study authors and used for data collection.Responses of 18 HSCT centers from 17 provinces were received.General assessment for malnutrition was performed at 72%(13/18)centers.Parenteral nutrition(PN)was given as the first option to HSCT patients in the majority of centers,despite the fact that current guidelines recommend enteral nutrition(EN)over PN.As many as 72%(13/18)of the centers considered a neutropenic diet in the management of HSCT patients,but only one center had a formal neutropenic diet protocol in place for transplant recipients.Criteria for initiating nutrition support in patients with gastrointestinal GVHD were heterogeneous among the centers,and PN was the most widely used technique.The survey results revealed significant heterogeneity with regard to nutrition support practices among the centers,as well as between the practices and the guidelines.Standard nutrition support guidelines or protocols for nutrition support practices were absent in most of the centers.

Sedimentation retention basin utilization for best management practice

Approaches to the artificial impoundment and theoretical design of sedimentation retention basin are reviewed with particular attention to best management practice(BMP) to control agriculture and surface runoff. Sediments retention basins are the small version of farm pond used where a criteria of farm pond is not met. Such basin traps the pollutants and suspended solids prior to entry into streams and lakes. The study is focused with special reference to the assessment and control of non point source pollution(NPSP) from the sub basin area of Tai Lake in the Xishan County of Wuxi City of China. The author suggested two different approaches to conduct this study including theoretical design for sedimentation retention basin and computation of flow, sediment transport and deposition during the artificial impoundment of retention basin for BMP's utilization. Theoretical design will provide a useful function as a first line defense against the movement of sediments and transport of pollutants into the Tai Lake while the assessment of sediments deposition will help to make its proper use and periodic cleanup.

Good Practices in Strategic Environmental Assessment Processes under the Brazilian Practitioners’ Vision

The use of good practices (GP) can improve the technical quality and, as a consequence, the outcome of the Strategic Environmental Assessment (SEA) process, increasing its effectiveness. This study aimed to present GP pointed out by Brazilian practitioners (members of the SEA development teams) from the perspective afforded by their participation in processes of this tool. The data were collected through personal interviews with 11 professionals responsible for preparing a total of 17 SEAs, who were asked about what measures adopted in the SEA could be considered BP. The responses were audio-recorded, transcribed, and had their content assessed by Content Analysis technique. Nine GP were highlighted by practitioners. The GP indicated represent a valuable contribution to the improvement of future use of SEA, either in Brazil or in other countries, because they are the result of consolidated experience in real cases of application of the tool.

Clinician Utilization of Best Practices for HIV Care and Status Disclosure: A Cross-Sectional Study

Determining the baseline utilization of best practices among clinicians, with regard to HIV care and disclosure of status to at-risk partners, is critical to addressing HIV prevention issues and disease transmission. In this study, we examined clinicians' utilization of best practices for HIV/AIDS care and the disclosure of HIV status to sexual and needle-sharing partners (HSSNSP). We conducted a cross-sectional survey of 100 clinicians to assess knowledge, attitude, and behavior towards best practices for HIV care and disclosure of HSSNSP. Multiple logistic regression analysis was used to determine factors associated with the utilization of clinical best practices for HIV care and disclosure of HSSNSP. Forty eight percent of the participants revealed poor behaviors. Fifty six percent showed less positive attitudes towards clinical best practices for HIV care and disclosure of status. Less than half (32%) of the participants had earned at least 1 HIV/AIDS CME credit in the past two years. Our study showed strong associations between the utilization of best practices for HIV care and the disclosure of status, and clinician attitudes and knowledge levels. Further research that aims to improve knowledge and attitudes on clinical best practices for providing HIV/AIDS care and the disclosure of status is needed. This improvement may lead to increase in the utilization of best practices for HIV care and disclosure of status, and contribute to decreases in disease transmission rates.

Food Waste Management in Luxury Hotels-Best Practices and Limitations

Hospitality industry and hotels are considered to waste a lot of food.This research aims to focus on food waste management in luxury hotels by investigating three luxury hotels in Budapest(Hungary).The investigation focuses on qualitative methods,eleven interviews and observations were made from September to December 2018.Results show that in luxury hotels the main challenge is to ensure the correct balance between 5*experience and minimizing food waste.It was found that kitchen,breakfast open-buffet and staff canteen are among the leading causes of food waste,generating even higher food waste compared to conferences,banquets,orála carte options.While a broad range of practices exist that are believed to minimize the food waste of buffets,most of the luxury hotels are only implementing a small ratio of such practices and are only in the beginning of the planning phase to expand their practices in this regard.

Assessment of soil erosion in the Irga watershed on the eastern edge of the Chota Nagpur Plateau,India

Human activities to improve the quality of life have accelerated the natural rate of soil erosion.In turn,these natural disasters have taken a great impact on humans.Human activities,particularly the conversion of vegetated land into agricultural land and built-up area,stand out as primary contributors to soil erosion.The present study investigated the risk of soil erosion in the Irga watershed located on the eastern fringe of the Chota Nagpur Plateau in Jharkhand,India,which is dominated by sandy loam and sandy clay loam soil with low soil organic carbon(SOC)content.The study used the Revised Universal Soil Loss Equation(RUSLE)and Geographical Information System(GIS)technique to determine the rate of soil erosion.The five parameters(rainfall-runoff erosivity(R)factor,soil erodibility(K)factor,slope length and steepness(LS)factor,cover-management(C)factor,and support practice(P)factor)of the RUSLE were applied to present a more accurate distribution characteristic of soil erosion in the Irga watershed.The result shows that the R factor is positively correlated with rainfall and follows the same distribution pattern as the rainfall.The K factor values in the northern part of the study area are relatively low,while they are relatively high in the southern part.The mean value of the LS factor is 2.74,which is low due to the flat terrain of the Irga watershed.There is a negative linear correlation between Normalized Difference Vegetation Index(NDVI)and the C factor,and the high values of the C factor are observed in places with low NDVI.The mean value of the P factor is 0.210,with a range from 0.000 to 1.000.After calculating all parameters,we obtained the average soil erosion rate of 1.43 t/(hm^(2)•a),with the highest rate reaching as high as 32.71 t/(hm^(2)•a).Therefore,the study area faces a low risk of soil erosion.However,preventative measures are essential to avoid future damage to productive and constructive activities caused by soil erosion.This study also identifies the spatial distribution of soil erosion rate,which will help policy-makers to implement targeted soil erosion control measures.

Effect of Supportive Measures Guidelines on Nurses’ Practices during Labor

Objectives: To investigate the effect of supportive measures guidelines on nurses’ practices during labor. Methods: A quasi-experimental design (an interventional pre and post-test study). Setting: The study was conducted at obstetric wards and intrapartum units at Nasser Institute Hospital. Sample: All nurses provide guided direct care, there were 40 nurses included in the study. Tools: Three tools were used to collect data named self-administered questionnaire sheet, labor supportive measures’ observational checklists, and nurses’ satisfaction sheet. Results: There was a highly significant improvement in total knowledge and total practical skills among the studied sample pre-intervention compared to immediate post and follow-up intervention (p ≤ 0.01). Additionally, 95% of the studied sample was satisfied with the advanced knowledge included in the guidelines. Conclusion: The supportive measures guidelines had an efficient improving nurses’ knowledge and practices post-intervention. Also, the majority of the studied sample was satisfied with the implemented guidelines. Recommendations: Implementation of labor supportive measure guidelines in different childbirth units to improve nurses’ practice. Further research is required to investigate parturient woman’s satisfaction with the childbirth process after implementing labor supportive measures and the effect of labor supportive measures on childbirth process outcome.

Standards and Best Practices Application of Standards for Equipment-Manufacturing Industries Workshop Held in Shanghai

The "Application of Standards for Equipment-Manufacturing Industry Workshop" was held for two days in Shanghai from May 25th to May 26th, 2007. Dozens of delegates from famous enterprises and organizations around the world participated, including those from Shell China Ltd., Leal China, Siemens Ltd. China Corporate, and Assurance of SAI Global and SGS . Nine experts, engaged in standardization, intellectual property, and related fields, gave speeches on "Standards and Best Practices," and many illustrative examples of the application of standards were provided.……

Nursing Students’ Medication Errors and Adherence to Medication Best-Practice

Background: Nursing students are at risk for committing medication administration errors (MAEs), which significantly alter the delivery of safe and effective healthcare. Purpose: To identify the medications most frequently involved in medication errors as reported by Jordanian nursing students, as well as to identify the level of nursing students’ adherence to best-practice when administering high-risk medications. Methods: A cross-sectional design was used among a convenience sample of 74 nurses. Results: A total of 74 of 110 (67.3%) questionnaires were returned. The most frequent medications subjected to MAEs were Dopamine, Dobutamine, and Insulin continuous intravenous infusion (17.2%, 16.0% and 13.5% respectively). Regarding the adherence to best-practice, nursing students adhered the most to the following best-practices: checking the patient armband prior to medication administration with a mean of 3.81 (±0.6) and bringing the MAR sheet with them when preparing a medication with a mean of 3.46 (±1.1). Conclusion: Developing an effective medication training programs in all undergraduate nursing programs in Jordanis is vital to ensure patient safety. Nursing educators in clinical and academic settings need to reinforce the importance of adherence to medication management best-practice in all courses. Close and effective supervision of students needs to be maintained throughout nursing students’ clinical training, especially during medication preparation and administration.

Best Practices in Construction 4.0:Catalysts of Digital Innovations(Part I)

Digital transformation in the AEC industry(Architecture,Engineering and Construction)is a key driver to enhance technical innovation in the branch and adds dynamic to all work processes and methods.A more differentiated understanding of the responsible use of innovative technologies aims not only towards increased technical,environmental,educational,societal and gender equality sustainability and more efficient building life cycles but also to recognize the unintended effects such as artificial intelligence(AI).The study is part of a larger primary research on Corporate Digital Responsibility(CDR)in Construction 4.0.This identifies,analyzes and systematically evaluates key factors of a sustainable digital transformation,especially in the traditionally small-scale Construction Industry,in which there can be no standardized procedure.The study uses interdisciplinary literature and data research and expert interviews.The qualitative method enables a critical-reflexive analysis of the key factors of meaningful and sustainable implementation of innovative technologies in Construction.Application examples show possible approaches,some of which are implemented as prototypes and provide guidance for small to medium-sized companies.The study outlines the necessary steps for companies to define their own potential fields of application and find suitable methods.Another aim of the study is to take stock of the acceptance of new technologies by comparing different perspectives from experts.The study results show new perspectives on the transformation of the Construction Industry.They show that Digital Transformation in Construction 4.0 has great potential for an economical,efficient construction life cycle,but requires the responsible,sensible use of innovative technologies.

Best Practices in Construction 4.0-Catalysts of Digital Innovations(Part II)

Part II on Best Practices in Construction 4.0 follows up on the previously published study Part I.This study examines corporate strategies from different angles,defines potential fields of application and works out existing empirical values and trends in the digitization process of the building sector.It highlights the unintended consequences of technological development and offers concrete practical approaches for responsible use.Using the qualitative research method,the study concludes that digital methods,such as Building Information Modelling(BIM)and Digital Twins,and Artificial Intelligence(AI)can add value,significantly reduce resources and increase sustainability.The study is part of a larger primary research on Corporate Digital Responsibility(CDR)in Construction 4.0;it identifies,analyzes and systematically evaluates the pillars of a sustainable digital transformation,especially in the Construction Industry.The holistic,interdisciplinary view of this study aims to provide orientation for small to medium-sized companies(SMEs)developing their individual digital strategy.An outline of the necessary prerequisites but also design options,as they result from the evaluation of expert interviews and literature research,supports companies in the design of Construction 4.0 that is in line with the needs of people,society and the environment and shaping more economically efficient building life cycles.It highlights that digital transformation has also reached the traditionally small-scale AEC industry(small-scale architecture,engineering and construction industry)and catalyzes the variety of innovations.

How does parents’social support impact children’s health practice?Examining a mediating role of health knowledge

Background Family environmental factors play a vital role in shaping children’s health practices(e.g.,obesity pre-vention).It is still unclear how parents’social support affects children’s obesity-related health practices.The present study argues that whether parents’social support positively associates with children’s obesity-related health practice depends on if it could promote parents’obesity-related health knowledge.Thus,we hypothesize that health knowl-edge mediates the relationship between parents’social support and children’s health practice regarding weight management.Methods To test the hypothesis,we conducted a questionnaire survey and collected a nationally representative sample of 1488 household responses in Singapore.The survey included questions about parents’social support,health knowledge,children’s health practices,and socio-demographic variables.All participants have at least one child 14 years old or younger.In the sample,66.1%of the respondents are female,and 93.7%are below 50 years old.Structural equation modeling(SEM)via Stata was used to examine the associations between parents’social support,health knowledge,and children’s health practice.Results The results of our analysis support our hypothesis.Specifically,(1)parents’social support shows a positive relationship with health knowledge(Coef.=0.17,p<0.001 for BMI knowledge and Coef.=0.18,p<0.001 for nutrition knowledge);(2)parents’social support(total effect of social support=0.081,p=0.071)and health knowledge positively associate with children’s obesity-related health practice(coefficient of BMI knowledge=0.10,p<0.01;coefficient of nutrition knowledge=0.31,p<0.001);and(3)the effects of parents’social support on children’s health practice is fully mediated by parents’health knowledge(mediating effect=100%,p=0.007).Conclusion The present study provides fresh evidence from a multicultural context to understand the relationships between parents’social support,health knowledge,and children’s obesity-related health practice.Our findings sup-port the argument that social support from parents’social networks does not necessarily promote health outcomes.The only social support that carries proper health knowledge can facilitate good health practice.

STORM WATER BEST MANAGEMENT PRACTICES THAT MAXIMIZE AQUIFER RECHARGE

This article reviews and provides evaluation guidelines for six major storm water best management practices includingbioretention areas, grassed swales/fi lter strips, infi ltration trenches, porous pavement, rain barrels and wet detentionponds. A detailed table allows for quick and easy design comparisons, including a separate table which allows forsite specifi c cost comparisons. A logic diagram is provided as a basic tool for screening the most feasible managementpractice.