The Dictyostelium Centrosome
The experimental results were verified with structural insights obtained from DFT calculations at B3LYP/6-311++G(d,p) level and construction of potential energy surface (PES) in the ground state as well as in the excited states.Context The current COVID-19 context has placed nurses at the heart of the pandemic, due to the critical role they play within the population. However, media and professional discourses are influencing the identity and clinical practice of nurses.Objective Review the literature on the construction of the popular identity of nurses and their roles during the COVID-19 pandemic.Method Several data sources were consulted Eureka, Google News, Education Resources Information Center (ERIC), Sociological Abstracts, Cumulative Index to Nursing Information and Allied Health Literature (CINAHL), MEDLINE, and Social Sciences Abstracts. Manual searches of government and professional sites were also conducted.Results Of a total of 281 papers indexed, 73 were retained. The literature analysis identified the following themes 1) identity images of nurses during this pandemic and their professional roles ; 2) the sometimes paradoxical nature of media and political discourse ; and 3) the fact that this discourse seems to influence clinical nursing practice, which is being assigned new roles.Conclusion This article raises awareness among decision-makers about the multiple roles of nurses and the public image of nurses during a pandemic, and takes a critical look at popular discourses related to nurses' identity and how this identity changes during a pandemic.Introduction Sleeping with your infant (known as co-sleeping) is a proximal parenting practice. In some societies, 80 percent of children sleep with their parents. In France, a culture of sleeping separately has emerged, and the practice of co-sleeping has been associated with sudden infant death syndrome (SIDS). International recommendations tend to advise against co-sleeping and to devalue it as a practice.Material and methods Two focus groups with co-sleepers (n=6) complemented by ten in-depth interviews were organized to identify the motivations and organization that mothers and their partners have when it comes to practicing co-sleeping with their children. A content analysis of what was said in the interviews by individuals and couples enabled us to find out more about the needs that co-sleeping responds to, as well as parents' co-sleeping practices.Results Co-sleeping, made taboo by SIDS, responds to emotional and practical factors. The couple's life does not seem to be negatively impacted by it. The positive relationship it allows parents to have with their children is valued. Recommendations may often describe this way of sleeping as "unsafe," but co-sleepers support this parenting practice, along with breastfeeding.Conclusion The results highlight the health education importance for co-sleepers. Being educated about co-sleeping will ensure that their practice is safe and will mean that they do not isolate themselves socially to hide it because they only have partial knowledge of the SIDS safety measures.Solicitude is a term used in everyday language, closely related to care and to concern. Tilarginine Acetate Paul Ricœur gave it a singular place in his "little ethics" and revealed its depth. According to Ricœur, solicitude is akin to care and yet is not its translation. Clarifying the specificity of Ricœur's solicitude allows us to better perceive what is at stake in order to rethink care. The specificity of Ricœur's solicitude allows us to better perceive what is at stake in order to rethink care. Here we shed light on Ricœur's notion of solicitude in order to rethink care.Within the framework of France's Health Service for Health Students (Service sanitaire des étudiants en santé, SEES) initiative, students in physiotherapy and nursing from the same region were brought together to take part in an experimental scheme. As the students from each sector were not used to working together (2), the trainers needed to adapt in order to create a favorable teaching environment. This contribution looks at "what happened" during the setting up of such a scheme. Semi-structured interviews were conducted with the Institute for Training in Physiotherapy Management team at the beginning of the 2019-2020 academic year, and with the physiotherapy and nursing trainers involved in two of the schemes at the end of the experiment. The data from the interviews was processed using a thematic analysis. Beyond the challenges of such a scheme, the results also take into account the trainers' subjective experience. Feedback on the experience reveals quite contrasting training cultures and self-identification. The study as a whole makes it possible to identify the drivers behind, obstacles to, and optimal conditions for setting up this type of cross-sectoral preventative action, as well as shedding light on new training issues to be explored.Introduction Theoretical perspectives are essential for guiding clinical practice and nursing research.Context The understanding of pain has evolved considerably, leading to new theoretical models integrating the different components of pain (sensory-discriminative, affective-motivational, and cognitive).Objective To conduct a critical review of the different theoretical perspectives on children's procedural pain.Method To identify relevant theoretical literature, a literature search on pediatric pain was conducted on PubMed, CINAHL, Embase, and Google Scholar.Results Six theoretical perspectives for procedural pediatric pain were identified. These theoretical perspectives are described, and their strengths and limitations are explained.Conclusion This critical review will help nurses to choose a theory that will guide a research project and their clinical practice.Background The integration of nurse practitioners into primary healthcare settings is highly complex, yet it has not been extensively studied with regard to broader socioprofessional changes occurring in health care.Objective This study sought to examine the integration and negotiation of the role of nurse practitioners in interprofessional primary healthcare settings.Method A critical ethnography framed by actor-network theory and Foucault's concepts of discourse and power was conducted in three different primary healthcare models in which semi-structured interviews (n=23 nurse practitioners), direct observation, and document analysis were performed.Results Organizational aims, practice standards, nurse practitioners' right to self-determination, collaborative dynamics with physicians, and patient management were identified as integration factors that produced greater instability, needs for negotiation, and professional, identity, and moral difficulties for nurse practitioners.Discussion The findings from this study challenge the widespread perception that the role of nurse practitioners lacks clarity and enable a renewed understanding of their integration process in primary healthcare settings.In a global context where populations' mental health needs are growing rapidly, recruiting the next generation of nurses to work in these care settings is particularly problematic. Because of their negative views on mental health issues, nursing students reject such a career path. According to the literature, training programs, particularly clinical immersions, are the main way of mitigating the unpopularity of mental health care among this new generation of nurses. Through an interpretive phenomenological analysis of semi-structured interviews conducted with eleven undergraduate nursing students, this research studied their learning experience during a clinical immersion in mental health care. Anchored in Parse's humanbecoming theory, this study explores the meaning that students attribute to such an experience, the experiential negotiation processes of the practicum setting, and the participants' ability to project themselves beyond the learning experience itself. These results raise various issues related to mental health nursing education, such as the importance of having a nursing role model, as well as various influencing factors related to the rejection of a career in mental health care by the next generation, such as the perception that working in these care settings involves an increased risk of aggression.Introduction Psychotic disorders usually begin during adolescence or early adulthood. The first psychotic symptoms are said to be attenuated in their prodromal phase. It is essential to identify them and initiate follow-up as early as possible to limit the severity of symptoms or even prevent a psychotic transition. However, there is still some uncertainty about the progression of symptoms. The aim of this exploratory study was to show the difficulties that surround the construction of a therapeutic alliance in this context.Methodology The method adopted was a field survey.Results Uncertainty about the development of disorders and their worsening and the fact that they are assessed by evaluating the patient's functional weaknesses led professionals to develop a relationship based on knowledge that is acquired empirically and that is in line with a phenomenological approach. Thus, professionals mobilized dynamic and interactive communication techniques to try to forge a therapeutic alliance.Conclusion It has been shown that professionals seek to build a therapeutic alliance with young people presenting an uncertain evolution toward psychosis using a phenomenological, personalized, and pragmatic logic.Introduction One solution proposed by the authorities to address public health issues is to deploy a new category of professionals with a greater range of skills advanced practice nurses (APNs). The literature identifies the complexity of the deployment projects of these professionals. The PEPPA model approved by the International Council of Nurses is the reference model for the introduction of APNs. The objectives of this study were to explore various stakeholders' perceptions on the introduction of APNs into health institutions, in order to propose recommendations to support the institutions.Method A multicenter qualitative study was conducted in France's Provence-Alpes-Côte d'Azur region with physicians, managers, nurses, patients, and advanced practice students.Results APNs are beneficial for patients and the health system, but their introduction into health institutions brings with it risks, primarily linked to their integration. APN introduction projects need to be well planned and should prioritize their integration.Discussion Results consistent with the PEPPA model identified seven recommendations to facilitate the successful introduction of APNs into hospitals.Conclusion This work needs to be continued with studies related to the out-of-hospital setting and the evaluation of the successfulness of APNs' introduction.
Advanced nursing practice is the subject of a growing number of studies. To date, however, few of them have analyzed the local processes used to implement the functions of advanced practice nurses (APNs). The research presented in this article concerns a pilot project on the precursors of APNs (pre-APNs) in the French healthcare system.
This article analyzes the major obstacles to and levers for the development of pre-APNs’ functions in the light of their active role in the implementation process.
The obstacles include confusion of the function of pre-APN with other nursing functions on the part of their colleagues and superiors, partial assimilation to the medical profession, restriction of the practice of pre-APN under the control of physicians in highly ambivalent interprofessional relationships. Physicians also played a leveraging role in interprofessional mentoring to promote the introduction of pre-APN. They adopted strategies for negotiating their competencies, providing information and raising awareness about their function while asserting a professional identity based on their competence as nurses expert in nursing care in their field of practice (the elderly, mental health and psychiatry, support for chronic or cancer patients, primary care).