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Critical thinking is required for successful nursing outcomes. For evidence-based practice, there is a need to understand and apply quantitative methods of research and statistical analysis in order to obtain evidence. However, the literature shows that the use of quantitative methods among nurse researchers can be problematic. This article aims to enhance understanding and implementation of one of the most frequently used statistical tests, the independent samples t-test, with the use of a nursing practice example. Guidance for the most used statistical software for social sciences (SPSS) and graphical representations are provided. [ABSTRACT FROM AUTHOR]

Nature-based solutions (NBSs), defined as actions that work with and enhance nature, providing environmental, social, and economic benefits, play a pivotal role in accomplishing multiple objectives within the Water–Ecosystem–Food Nexus domain. They contribute to facilitating the transition to more resilient agrifood systems and providing an evidence base for a broader Nexus policy dialogue. This paper describes the stepwise methodology developed in the EU-funded LENSES project to carry out a comprehensive analysis of NBSs in six pilot areas in five Mediterranean countries and presents the results of NBS implementation in four pilot areas, highlighting obstacles and opportunities. The methodology includes the development of an analytical evaluation framework and a comprehensive catalogue of Nexus-related NBSs, whose suitability needs to be assessed at the local level to achieve better use of protected/natural ecosystems, increase the sustainability and multifunctionality of managed ecosystems, and design and manage novel ecosystems. Subsequently, in a collective learning process that supported the operationalisation of the WEF Nexus, NBSs were identified that address specific contextual vulnerabilities, improve water distribution, and enhance food security while preserving ecosystems and supporting adaptation to climate change. The added value of the proposed methodology lies in the multi-stakeholder participatory approach to gain in-depth knowledge of local agri-food systems, including their main WEF-related challenges, and to facilitate overcoming barriers to NBS implementation. Finally, a final survey was conducted among a small group of purposively selected stakeholders to gain some insight into their perceptions of the impact of NBS and to gather some opinions on the main barriers and opportunities. [ABSTRACT FROM AUTHOR]

The conservation of natural resources is indispensable for supporting sustainable development. Water–Energy–Food–Ecosystem (WEFE) nexus management is widely acknowledged as the utmost priority of our time. Considering the specificities of the different nexus sectors, conflicting views of sustainability may arise from different stakeholders. This paper presents and analyses an effective stakeholders' participation strategy aiming at identifying WEFE challenges in the Pinios River Basin (PRB), the most agriculturally productive and natural resource-stressed basin of Greece. The presented methodology was developed in the context of a Learning and Action Alliance (LAA) scheme adopted by the H2020 REXUS project, intended to support resilient nexus system management with the engagement of stakeholders. The proposed comprehensive methodology comprises multiple phases, including "framing", "mapping", "involvement", "co-production", and "sharing" phases. The involvement phase is the most interactive one, including the organisation and outputs of efficient crowdsourcing theme sessions organised in the framework of the first REXUS PRB stakeholders' workshop. This paper illustrates and analyses stakeholders' perceptions regarding nexus status in the PRB and reveals the most critical challenges in the pilot basin, along with their interdependencies and correlations. The determination of nexus challenges insights by stakeholders could significantly contribute to redefining policies so that they align with sustainable development aims. This methodology is proposed to form the baseline strategy in stakeholders' engagement for future nexus management studies. [ABSTRACT FROM AUTHOR]

Why you should read this article: • To understand the methodology of the one-way ANOVA test as an example of an inferential statistical method • To understand the Kruskal-Wallis H test as an alternative when the assumptions needed for the one-way ANOVA test do not hold • To identify and assess the clinical significance of findings Background: Quantitative methods and statistical analysis are essential tools in nursing research, as they support researchers testing phenomena, illustrate their findings clearly and accurately, and provide explanation or generalisation of the phenomenon being investigated. The most popular inferential statistics test is the one-way analysis of variance (ANOVA), as it is the test designated for comparing the means of a study's target groups to identify if they are statistically different to the others. However, the nursing literature has identified that statistical tests are not being used correctly and findings are being reported incorrectly. Aim: To present and explain the one-way ANOVA. Discussion: The article presents the purpose of inferential statistics and explains one-way ANOVA. It uses relevant examples to examine the steps needed to successfully apply the one-way ANOVA. The authors also provide recommendations for other statistical tests and measurements in parallel to one-way ANOVA. Conclusion: Nurses need to develop their understanding and knowledge of statistical methods, to engage in research and evidence-based practice. Implications for practice: This article enhances the understanding and application of one-way ANOVAs by nursing students, novice researchers, nurses and those engaged in academic studies. Nurses, nursing students and nurse researchers need to familiarise themselves with statistical terminology and develop their understanding of statistical concepts, to support evidence-based, quality, safe care. [ABSTRACT FROM AUTHOR]

Background: Correct use of personal protective equipment is vital to minimise the risk of patients acquiring healthcare-associated infections. These measures are also important in preventing exposure to occupational infection. During the COVID-19 pandemic, the use of personal protective equipment was associated with anxiety, uncertainty and additional training requirements. This study investigated midwives' experiences using personal protective equipment during the pandemic. Methods: This systematic scoping review searched seven academic databases and grey literature. Data analysis was conducted using a thematic analysis framework. Results: A total of 16 studies were included. Four themes were found: 'fear and anxiety', 'personal protective equipment/resources', 'education and training needs' and 'communication'. Conclusions: Management and administration inconsistences, logistical issues and lack of training on personal protective equipment led to midwives' negative feedback. A gap has been identified in the exploration of midwives' experiences as personal protective equipment end-users during the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

Due to their unique characteristics, cosmic-ray neutron sensors (CRNSs) have potential in monitoring and informing irrigation management, and thus optimising the use of water resources in agriculture. However, practical methods to monitor small, irrigated fields with CRNSs are currently not available and the challenges of targeting areas smaller than the CRNS sensing volume are mostly unaddressed. In this study, CRNSs are used to continuously monitor soil moisture (SM) dynamics in two irrigated apple orchards (Agia, Greece) of ~1.2 ha. The CRNS-derived SM was compared to a reference SM obtained by weighting a dense sensor network. In the 2021 irrigation period, CRNSs could only capture the timing of irrigation events, and an ad hoc calibration resulted in improvements only in the hours before irrigation (RMSE between 0.020 and 0.035). In 2022, a correction based on neutron transport simulations, and on SM measurements from a non-irrigated location, was tested. In the nearby irrigated field, the proposed correction improved the CRNS-derived SM (from 0.052 to 0.031 RMSE) and, most importantly, allowed for monitoring the magnitude of SM dynamics that are due to irrigation. The results are a step forward in using CRNSs as a decision support system in irrigation management. [ABSTRACT FROM AUTHOR]

Is there any association detectable between communication and trust in the aviation maintenance sector? Effective communication can have a positive contribution to safety in the aviation maintenance industry. In concert with trust, communication can also influence the detection of failures during the practice of maintenance in a civil and military aviation environment. This study explores the association between three factors: communication satisfaction, interpersonal trust and trust toward aviation maintenance maintenance software. To this end, a survey was conducted to diverse set of aviation maintenance professionals. A quantitative analysis was performed on the data collected, to identify possible interrelations among the three factors examined. For managers and subordinates, results showed that a substantial proportion of their communication satisfaction was explained by their levels of interpersonal trust. Differences in the communication satisfaction and software trust, between military and civil employees were also observed. The results of civil employees exhibit higher mean scores than that of military for all three factors. Overall, communication satisfaction was found to have a stronger association with interpersonal than with software trust. The mean scores of communication satisfaction and interpersonal trust increased across various levels of experience, with the differences between less and more experienced employees being statistically significant. This study identifies a positive association between communication and trust in aviation maintenance. [ABSTRACT FROM AUTHOR]

In this research paper a new conceptual model is introduced—the Diagnosis of Communication and Trust in Aviation Maintenance (DiCTAM) model. The purpose of this model is to recognise, measure and predict the relationship between communication and trust in the aviation maintenance field. This model was formed by combining a conceptual cyclical process and two established survey tools, adapted and incorporated in a single question set. The implementation of each phase of the DiCTAM model is performed with the use of qualitative and quantitative research methods. This includes the use of content analyses of accident/incident investigation reports and training material, a survey and a hypothetical case study. The predictive functionality of the DiCTAM model has been investigated through the hypothetical case study. The obtained results indicate a positive relationship between communication and trust according to the aviation maintenance employees' perception and accidents/incidents reports, even though basic training includes communication without direct mention of trust. [ABSTRACT FROM AUTHOR]

Communication and trust are fundamental factors in the operation of complex and highly regulated industries like aviation maintenance. This article reviews two preconditions of human error: communication and trust, as well as the way these are linked as aviation researchers have only recently started to study factors not individually, but rather by combining their effects. Communication is essential in the exchange of information and knowledge in aviation maintenance. The conditions that make communication effective and miscommunication avoidable are explored. Next, ways of communication, like aircraft maintenance documentation, are discussed along with appreciation of how communication is valued in aviation maintenance. Trust within different aspects of maintenance practice (interpersonal trust, trust towards technology, initial levels of trust) is presented and analysed, as well as examined as a prerequisite of effective communication. The characteristics of trust, its forms and results are identified in the literature with limited sources from the aviation bibliography, as it is a domain barely explored. Therefore, a gap has been identified in the study of trust and the exploration of the combined traits of communication and trust in aviation maintenance. Recommendations for additional research in this field are provided. [ABSTRACT FROM AUTHOR]

Implantable cardioverter defibrillators (ICDs) reliably prevent death due to life-threatening arrhythmias; this may become less relevant in people with more severe heart failure who are reaching the end of life (EOL). This review aimed to explore the ICD deactivation process and identify ethical issues, especially around the initiation of relevant discussions among professionals and patients. Available literature was reviewed using four electronic databases to identify issues that may deter healthcare professionals from having important deactivation discussions and to address considerations for ICD management prior to the EOL. The search resulted in the retainment of 12 studies. Three themes emerged from the data: barriers and facilitators, ethical considerations in clinical practice, and nurse's role. Lack of knowledge, which has been associated with cultural differences, has been found among the barriers, and interdisciplinary education and open communication appeared as facilitators. As clinicians' ethical considerations and fears emerged from the literature, nurses' special role has not been sufficiently supported. Complex care requires facilitation by multidisciplinary teams and education around the device's function regarding EOL issues. Establishing expert consensus statements on advance care planning might help define the distinct roles of each healthcare practitioner involved. Further research is needed in addressing the identified gaps., (© 2024 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.)