Nurse educators and the future of nursing.
Calls for transformation in nursing education and practice abound. Nurses are part of a trusted profession, but they have been under-represented in conversations about health care compared with other, more vocal professionals. Nurses may not consider that they already have many leadership skills, and nurse educators in staff development roles are positioned to foster growth in other nurses. The relationship between nurse educators and their constituents provides the context for support that can motivate staff nurses to move beyond their concerns and accept challenges that may cause them some discomfort, such as writing for publication or public speaking. The leadership of nurse educators is essential to support colleagues who will shape the future of nursing.
The eShift model of care: informal caregivers’ experience of a new model of home-based palliative care
Introduction: Amidst concerns about the capacity to meet the needs of older adults requiring home-based palliative care in Ontario, Canada, one regional organization that coordinates home care services implemented a new model of home care delivery called ‘eShift’. The eShift model of home-based palliative utilizes point-of-care technology along with remotely located registered nurses and personal support workers in the client's home to provide palliative care to clients who wish to die at home. Methods: For this pilot study, an interpretive description methodology with semi-structured interviews was conducted to examine the experiences of eight informal caregivers who cared for a family member who received palliative care as part of the eShift model of home care. Results and discussion: Four themes were identified: the health care family; making the invisible visible; there's no place like home; and burden of love. Overall, informal caregivers indicated that they were very satisfied with care delivery, felt supported by health care providers, and were able to support their family member to die at home. Findings from this study contribute a greater understanding of the experiences of informal caregivers caring for a family member receiving care in a technology enhanced palliative care model.
Centrifuge modelling of effects of shield tunnels on existing tunnels in soft clay
With the rapid development of the subway network,the phenomena of shield tunnels going across the adjacent tunnels are becoming more and more common.The interaction between shield tunneling and nearby tunnels is more complicated than the ordinary shield tunneling in intact soil strata.Based on the project of Shanghai Bund Passage crossing Metro Line 2,the method of centrifuge modeling together with the field measurement is employed to study the effects shield tunneling on nearby strata and existing tunnels.In centrifugal model tests,the effects simulation techniques considering the unloading of excavation,ground loss and grouting are developed to analyze the longitudinal settlement of the shield tunnel and the existing tunnel induced by the shield tunneling.Besides,the deformation distribution and settlement curves of the existing tunnels during shield construction are studied by using the monitoring data.