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Aims To analyse influential policies that inform practice related to pressure injury management in Australia, England, Hong Kong, New Zealand, Scotland and the United States of America. Background Pressure injuries are associated with significant harm to patients, and carry economic consequences for the health sector. Internationally, preventing and managing pressure injuries is a key nursing activity and quality indicator. Evaluation Comparative review and synthesis of pressure injury policies that inform practice. Key issues The predominant focus of policy is on patient risk assessment, compliance with documentation and pressure relief. Financial penalty for institutions is emerging as a strategy where pressure injuries occur. Comparisons of prevalence rates are hampered by the lack of consensus on data collection and reporting. To date there has been little evaluation of policy implementation and implemented policy strategies, associated guidelines remain founded upon expert opinion and low-level evidence. Implications for nursing management The pressure injury policy agenda has fostered a discourse of attention to incidents, compliance and penalty (sanctions). Prevention and intervention strategies are informed by technical and biomedical interpretations of patient risk and harm, with little attention given to the nature or design of nursing work. Considerable challenges remain if this policy agenda is successfully to eliminate pressure injury as a source of patient harm.

© 2016 Elsevier Ltd. Background: Simulation allows students to practice key psychomotor skills and gain technical proficiency, fostering the development of clinical reasoning and student confidence in a low risk environment. Manikins are a valuable learning tool; yet there is a distinct lack of empirical research investigating how to enhance engagement between nursing students and manikins. Objective: To describe student perspectives of a layered, technology enhanced approach to improve the simulation learning experience. Educational Framework: Tanner's Model of Clinical Judgment underpins the entire curriculum. This study additionally drew on the principles of narrative pedagogy. Intervention: Across ten teaching weeks, five separate case studies were introduced to students through short vignettes. Students viewed the vignettes prior to their laboratory class. In the labs, manikins were dressed in the props used in the vignettes. Setting: The innovation was trialed in a second year core subject of a Bachelor of Nursing program in a large urban university in the autumn semester of 2014. Data Collection and Analysis: Following ethics approval, students were emailed a participant information sheet. A focus group of nine students was held. The discussion was digitally recorded and transcribed verbatim prior to being subject to thematic analysis. Students' comments (143) about the vignettes in their standard subject specific student feedback surveys were also considered as data. Results: Four themes were identified: Getting past the plastic; knowing what to say; connecting and caring; and, embracing diversity. The feedback indicated that these measures increased students ability to suspend disbelief, feel connected to, and approach the manikins in a more understanding and empathetic fashion. Conclusions: In addition to achieving increased engagement with manikins, other advantages such as students reflecting on their own values and pre-conceived notions of people from d

© 2016 Taylor & Francis Group, LLC. African migrant women represent a rapidly growing cohort of new arrivals in many countries. Many of these women demonstrate strength and resilience throughout the stressful migration process. In this integrative review, we explore the literature on African migrants' resilience using an ecological framework. Nine peer-reviewed journal articles and six grey literature documents were reviewed. Key internal and external factors in achieving resilience were identified, discussed, and diagrammatically represented using Bronfenbrenner's Ecological Framework under micro-, meso-, exo-, and macro-levels. Our findings show that the capacity for resilience demonstrated during migration could have implications for policy and practice.

© 2015, © The Author(s) 2015. Purpose: Migrating and establishing a new life in another culture can have diverse health effects especially for women. This article explores the struggles and social adjustment issues that might constitute negatively to the health of West African migrant women living in Australia. Design: Qualitative storytelling. Audiotaped voluntary stories from 20 West African migrant women living in Sydney, Australia were transcribed and analyzed. Findings: Three themes are presented for discussion: (1) But it is different here: life in a new country; (2) I have to do it all by myself: communal versus individual living; and (3) They don’t listen to parents: perceived threats to the family unit. Conclusion/Implication for Practice: The demand for and the importance of nurses and midwives in supporting migrant families is demonstrated by findings suggesting that social adjustment into the Australian culture has a significant impact on both the nuclear and extended family unit of women.

© 2015, © The Author(s) 2015. The well-documented health disparities between the Australian Indigenous and non-Indigenous population mandates a comprehensive response from health professionals. This article outlines the approach taken by one faculty of health in a large urban Australian university to enhance cultural competence in students from a variety of fields. Here we outline a collaborative and deeply respectful process of Indigenous and non-Indigenous university staff collectively developing a model that has framed the embedding of a common faculty Indigenous graduate attribute across the curriculum. Through collaborative committee processes, the development of the principles of “Respect; Engagement and sharing; Moving forward” (REM) has provided both a framework and way of “being and doing” our work. By drawing together the recurring principles and qualities that characterize Indigenous cultural competence the result will be students and staff learning and bringing into their lives and practice, important Indigenous cultural understanding.

© 2015 Elsevier Ltd. Background: Simulation allows students to practice key psychomotor skills and gain technical proficiency, fostering the development of clinical reasoning and student confidence in a low risk environment. Manikins are a valuable learning tool; yet there is a distinct lack of empirical research investigating how to enhance engagement between nursing students and manikins. Objective: To describe student perspectives of a layered, technology enhanced approach to improve the simulation learning experience. Educational Framework: Tanner's Model of Clinical Judgment underpins the entire curriculum. This study additionally drew on the principles of narrative pedagogy. Intervention: Across ten teaching weeks, five separate case studies were introduced to students through short vignettes. Students viewed the vignettes prior to their laboratory class. In the labs, manikins were dressed in the props used in the vignettes. Setting: The innovation was trialed in a second year core subject of a Bachelor of Nursing program in a large urban university in the autumn semester of 2014. Data Collection and Analysis: Following ethics approval, students were emailed a participant information sheet. A focus group of nine students was held. The discussion was digitally recorded and transcribed verbatim prior to being subject to thematic analysis. Students' comments (143) about the vignettes in their standard subject specific student feedback surveys were also considered as data. Results: Four themes were identified: Getting past the plastic; knowing what to say; connecting and caring; and, embracing diversity. The feedback indicated that these measures increased students ability to suspend disbelief, feel connected to, and approach the manikins in a more understanding and empathetic fashion. Conclusions: In addition to achieving increased engagement with manikins, other advantages such as students reflecting on their own values and pre-conceived notions of people from d

Tertulia con D. Damián Hernández Romero celebrada en la sede de la Real Sociedad Económica de Amigos del País de Gran Canaria.

Asamblea General Ordinaria en la que intervienen: Director: Francisco Marín Lloris; Censor: Juan Andrés Melián García; Secretario: Gonzalo Melián García; Tesorero: Adrián Díaz-Saavedra Zerolo. Contiene también un video realizado por Domingo Doreste González con el Anuario del 2004.

Rueda de prensa donde se da a conocer el Ciclo “España y los nacionalismos” presentada por Francisco Marín Lloris y Antonio González Padrón en la Real Sociedad Económica de Amigos del País de Gran Canaria. Coordinador técnico del ciclo José Miguel Pérez García.

Se presenta dos años después de las Jornadas organizadas por la RSEAPGC para conmemorar el 75 aniversario de la creación de la Provincia de Las Palmas, el libro que recoge las conferencias dadas en aquella ocasión. Preside la mesa Juan José Laforet Hernández, intervienen: Antonio Castellano Auyanet, Arturo Cantero Sarmiento, Nicolás Díaz-Saavedra de Morales, Cristóbal García del Rosario, Felipe Baeza Betancort, Rosa Rodríguez Díaz, Paulino Montesdeoca de La Guardia.

Conferencia presentada por el profesor de la Escuela Técnica Superior de Ingenieros Industriales de la ULPGC, Pedro Cuesta Moreno. Esta conferencia fue impartida el 27 de febrero de 2003 dentro de las Jornadas sobre el tranvía que organizaron la Escuela Técnica Superior de Ingenieros Industriales de la ULPGC, la Real Sociedad Económica de Amigos del País de Gran Canaria, el Real Club Náutico de Gran Canaria y el Colegio Oficial de Ingenieros Industriales de Canarias

Inauguración de las Jornadas sobre el tranvía celebradas en Las Palmas de Gran Canaria entre el 27-28 de febrero de 2003 en el Real Club Náutico de Gran Canaria. Organizan: Escuela Técnica Superior de Ingenieros Industriales de la Universidad de Las Palmas de Gran Canaria, la Real Sociedad Económica de Amigos del País de Gran Canaria, el Real Club Náutico de Gran Canaria y el Colegio Oficial de Ingenieros Industriales de Canarias.

Acto institucional de entrega de Premios Gran Canaria 2003. Video con el Anuario 2003 de la RSEAPGC. Presentación de los Anales de la Real Sociedad Económica de amigos del País de Gran Canaria 2002 a cargo de Alfredo Herrera Piqué y presentación del libro "La economía canaria en la segunda mitad del siglo XIX: la Real Sociedad Económica de Amigos del País" a cargo de Santiago de Luxán Meléndez. Tras algunas palabras del secretario Gonzalo Melián Pérez, lee un breve currículo de los premiados José Luis Gago. Se hace entrega de los Premios "Gran Canaria, 2003" Modalidad de Ciencia, Especialidad de Ingeniería de Sonido a Santiago Arriba Esplá; Modalidad Ciencia, Especialidad Biología e Investigación a Jaime Correa Bordes; Modalidad Diseño, Especialidad Moda a Juan Roga; Modalidad Bellas Artes, Especialidad Canto, a Nancy Fabiola Herrera Ceballos; Modalidad Bellas Artes, Especialidad Composición a Juan Manuel Marrero Rivero.

Director: Francisco Marín Lloris Secretario: Gonzalo Melián García Tesorero: Adrián Díaz-Saavedra Zerolo

Mesa redonda de las Jornadas sobre el tranvía “El tranvía, transporte ecológico para las ciudades del siglo XXI”, celebradas en Las Palmas de Gran Canaria entre el 27-28 de febrero de 2003 en el Real Club Náutico de Gran Canaria. Intervienen: Secundino León Pérez, José Jiménez Suárez, José Segura Clavell. Moderador Juan Marrero Portugués. Estas Jornadas fueron organizadas por la Escuela Técnica Superior de Ingenieros Industriales de la Universidad de Las Palmas de Gran Canaria, la Real Sociedad Económica de Amigos del País de Gran Canaria, el Real Club Náutico de Gran Canaria y el Colegio Oficial de Ingenieros Industriales de Canarias.

Se presentan los siguientes actos: Presentación del libro "Canarias siglo XX : de la emigración a la inmigración : un análisis económico" por Salvador Miranda Calderín. Presentación de los "Anales de la RSEAPGC 2001" por José Miguel Pérez García. Entrega de los Premios "Gran Canaria" 2002 de la RSEAPGC: Francisco Ramírez Viu, premio "Gran Canaria" de literatura; Francis Naranjo, premio "Gran Canaria" de arte; Lucas Alemán Delgado, premio "Gran Canaria" de música; Damián Perea Lezcano, premio "Gran Canaria" de cinematografía; Gonzalo Piernavieja Izquierdo, premio "Gran Canaria" de ciencias.

Lates calcarifer supports important fisheries throughout tropical Australia. Community-driven fish stocking has resulted in the creation of impoundment fisheries and supplemental stocking of selected wild riverine populations. Using predominantly tag-recapture methods, condition assessment and stomach flushing techniques, this study compared the growth of stocked and wild L. calcarifer in a tropical Australian river (Johnstone River) and stocked fish in a nearby impoundment (Lake Tinaroo). Growth of L. calcarifer in the Johnstone River appeared resource-limited, with juvenile fish in its lower freshwater reaches feeding mainly on small aytid shrimp and limited quantities of fish. Growth was probably greatest in estuarine and coastal areas than in the lower freshwater river. Fish in Lake Tinaroo, where prey availability was greater, grew faster than either wild or stocked fish in the lower freshwater areas of the Johnstone River. Growth of L. calcarifer was highly seasonal with marked declines in the cooler months. This was reflected in both stomach fullness and the percentage of fish with empty stomachs but the condition of L. calcarifer was similar across most sites. In areas where food resources appear stretched, adverse effects on resident L. calcarifer populations and their attendant prey species should be minimised through cessation of, or more conservative, stocking practices.

© 2015 Taylor & Francis. Background: Children with incarcerated mothers experience adverse health, social and emotional circumstances, and are a particularly vulnerable group. Mothers in custody face significant challenges in parenting their children. Aims: The study aimed to identify participants’ views on impact of a parenting support programme for incarcerated mothers in NSW Australia. Methods: The mixed-methods study examined 134 responses to open and closed questions on a questionnaire for programme participants. Results: Participants found the programme worthwhile, engaging and relevant. It enhanced their parenting knowledge and confidence. Open-ended responses highlighted program elements which participants valued, specifically support for their parenting role in complicated circumstances, greater understanding of child development and perspectives, and practical strategies for facilitating connections with their children during their incarceration. Conclusions: The study informs nurses working with women who have experienced incarceration and their children, both in custodial and community settings.

© 2014 John Wiley & Sons Ltd. Aim: This paper aims to explore women's experiences with healthcare providers to ascertain ways health care may be improved for women disrupted in their mothering. Background: Women can find it difficult to relinquish care even when they are acutely unwell requiring hospitalization. Despite mothering being a priority for women, many healthcare professionals do not understand the importance of continuing to mother during maternal illness. Design: This research used a qualitative methodology drawing on principles of feminism and storytelling. Methods: Women's stories were collected through face-to-face interviews, email and via the telephone. The twenty-seven women who participated were from either Australia or the USA, had between one and six children and identified themselves as having been disrupted in their mothering by illness. Data were collected in 2011 and were analysed thematically. Findings: The majority of participants had been hospitalized at some point in time for acute illness. A subset of participants reported feeling judged by nurses and that their efforts to continue to mother their newborn children despite their illness were misunderstood and not facilitated. Conclusion: Findings from this study suggest that women are more likely to remember times that health professionals failed to understand the primacy that mothering held for them or facilitate their efforts to continue to mother despite illness. Nurses and midwives should regularly reflect on their personal values in regard to mothering, validate women's attempts to mother to the best of their ability during illness and find ways to support and empower women in their mothering.

© 2015 John Wiley & Sons Ltd. Aims and objectives: The purpose of this review was to explore what is known about interruptions and distractions on medication administration in the context of undergraduate nurse education. Background: Incidents and errors during the process of medication administration continue to be a substantial patient safety issue in health care settings internationally. Interruptions to the medication administration process have been identified as a leading cause of medication error. Literature recognises that some interruptions are unavoidable therefore in an effort to reduce errors, it is essential understand how undergraduate nurses learn to manage interruptions to the medication administration process. Design: Systematic, critical literature review. Methods: Utilising the electronic databases, of Medline, Scopus, PubMed and CINAHL, and recognised quality assessment guidelines, 19 articles met the inclusion criteria. Search terms included: nurses, medication incidents or errors, interruptions, disruption, distractions and multitasking. Results: Researchers have responded to the impact of interruptions and distractions on the medication administration by attempting to eliminate them. Despite the introduction of quality improvements, little is known about how nurses manage interruptions and distractions during medication administration or how they learn to do so. A significant gap in the literature exists in relation to innovative sustainable strategies that assist undergraduate nurses to learn how to safely and confidently manage interruptions in the clinical environment. Conclusions: Study findings highlight the need for further exploration into the way nurses learn to manage interruptions and distractions during medication administration. This is essential given the critical relationship between interruptions and medication error rates. Relevance to clinical practice: Better preparing nurses to safely fulfil the task of medication administra

This qualitative study explored adult men's experiences of father absence. Interviews with 21 men between the ages of 24 and 70 explored narratives of father absence and how the men perceived this influenced their life trajectory. Thematic analysis revealed that these men experienced a range of difficulties and challenges, including episodes of sadness and depression associated with loss and grief for the paternal relationship, self-esteem issues, feelings of anger and rejection, and difficulty forming trusting relationships particularly with other men. This study contributes to understanding mental health issues that can be associated with paternal absence for men. © 2014 Informa Healthcare USA, Inc.

Background: For health care professionals, particularly nurses, the need to work productively and efficiently in small groups is a crucial skill required to meet the challenges of the contemporary health-care environment. Small group work is an educational technique that is used extensively in nurse education. The advantage of group work includes facilitation of deep, active and collaborative learning. However, small group work can be problematic and present challenges for students. Many of the challenges occur because group work necessitates the coming together of collections of individuals, each with their own personalities and sets of experiences. Aim: This study aimed to identify challenges and benefits associated with small group work and to explore options for retaining the positive aspects of group work while reducing or eliminating the aspects the students experienced as negative. Method: Online survey; thematic analysis. Results: Over all, students experienced a range of challenges that necessitated the development of problem-solving strategies. However, they were able to elucidate some enjoyable and positive aspects of group work. Implications for teaching and learning are drawn from this study. Conclusion: The ability to work effectively in small groups and teams is essential for all health care workers in the contemporary health environment. Findings of this study highlight the need for educators to explore novel and effective ways in which to engage nurses in group work.

The stocking of predators can have significant consequences on recipient aquatic ecosystems. We investigated some potential ecological impacts of stocking a predatory fish (Lates calcarifer) into a coastal river and a large impoundment in north-eastern Australia. L. calcarifer was mostly found in slower-moving, larger reaches of the river or in the main body of the impoundment where there was abundant suitable habitat. In the tidally influenced freshwater reaches of the coastal river, L. calcarifer predominately consumed aytid and palaemonid shrimp that were associated with local macrophyte beds or littoral grasses. In this area the diets of juvenile stocked and wild L. calcarifer were similar and stocked fish displayed a high degree of site fidelity. Further upstream in the river, away from tidal influence, and in the impoundment, fish were the main prey item. Cannibalism was uncommon and we suggest that, at the current stocking densities, there was little dietary evidence of predatory impacts from L. calcarifer on species of conservation concern. We caution against introducing novel predatory species such as L. calcarifer in or near areas that are outside their natural range and are known to support rare, threatened or endangered species.

© eContent Management Pty Ltd. If health professionals are to effectively contribute to improving the health of Indigenous people, understanding of the historical, political, and social disadvantage that has lead to health disparity is essential. This paper describes a teaching and learning experience in which four Australian Indigenous academics in collaboration with a non-Indigenous colleague delivered an intensive workshop for masters level post-graduate students. Drawing upon the paedagogy of Transformative Learning, the objectives of the day included facilitating students to explore their existing understandings of Indigenous people, the impact of ongoing colonisation, the diversity of Australia's Indigenous people, and developing respect for alternative worldviews. Drawing on a range of resources including personal stories, autobiography, film and interactive sessions, students were challenged intellectually and emotionally by the content. Students experienced the workshop as a significant educational event, and described feeling transformed by the content, better informed, more appreciative of other worldviews and Indigenous resilience and better equipped to contribute in a more meaningful way to improving the quality of health care for Indigenous people. Where this workshop differs from other Indigenous classes was in the involvement of an Indigenous teaching team. Rather than a lone academic who can often feel vulnerable teaching a large cohort of non-Indigenous students, an Indigenous teaching team reinforced Indigenous authority and created an emotionally and culturally safe space within which students were allowed to confront and explore difficult truths. Findings support the value of multiple teaching strategies underpinned by the theory of transformational learning, and the potential benefits of facilitating emotional as well as intellectual student engagement when presenting sensitive material.

© eContent Management Pty Ltd. Previously there has been commitment to the idea that Indigenous curricula should be taught by Indigenous academic staff, whereas now there is increasing recognition of the need for all academic staff to have confidence in enabling Indigenous cultural competency for nursing and other health professional students. In this way, Indigenous content can be threaded throughout a curriculum and raised in many teaching and learning situations, rather than being siloed into particular subjects and with particular staff. There are many sensitivities around this change, with potential implications for Indigenous and non-Indigenous students and staff, and for the quality of teaching and learning experiences. This paper reports on a collaborative process that was used to reconceptualise how Indigenous health care curricula would be positioned throughout a programme and who would or could work with students in this area. Effective leadership, establishing a truly collaborative environment, acknowledging fears and perceived inadequacies, and creating safe spaces for sharing and learning were crucial in effecting this change.

This paper is concerned with the use of published literary autobiographies that contain first-hand accounts of illness narratives, to explore their usefulness as a form of qualitative data to generate knowledge that can inform nursing practice. There is increasing realisation that the experiences of patients and families should be used to guide health care service delivery, and autobiographical accounts are a valuable resource, providing first-hand accounts of the ways illness, disability, and health care, are experienced by patients and their families. © 2011 Royal College of Nursing, Australia.

OBJECTIVES: 1. Assess movements and ecological impacts of stocked barramundi in a model river and impoundment 2. Determine if barramundi stocking has any discernable adverse genetic impacts on wild populations in a previously stocked river system

Conferencia enmarcada dentro de las IV Jornadas Aeronáuticas de Gran Canaria, coordinadas por Manuel Ramos Almenara, quien hace la presentación del ponente y celebradas entre el 12 y el 15 de mayo de 2008 en la sede de la Real Sociedad Económica de Amigos del País de Gran Canaria.

Con motivo de los actos conmemorativos al Bicentenario de la Guerra de la Independencia se da esta conferencia presentada por Francisco Marín Lloris y Elisa Hurtado de Mendoza. Se presenta el libro " El 19 de marzo y el 2 de mayo : bicentenario del 2 de mayo de 1808" de D. Benito Pérez Galdós, coeditado por la Asociación Canaria de Amigos de Galdós, la Casa Museo Pérez Galdós y La Real Sociedad Económica de Amigos del País.