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Many people believe, and government policy recommends, that service users should be involved more in research agenda setting. This paper helps to provide a way of undertaking this, drawing on the approach used in a national research priority setting exercise for nursing and midwifery service delivery and organisation. A framework of service-user expectations for nursing and midwifery services was developed through a process of focus group discussions. Thirty-two participants were recruited from Community Health Councils (CHCs) because of their formal role in linking to health providers and as advocates of local communities. Discussions focused on the main gaps in nursing and midwifery services, priority areas for improvement and ways of involving service users in these developments. Nine broad expectations for nursing and midwifery services were identified and were used as a framework for the alignment of professional stakeholder data and literature and policy analysis. This enabled five priority areas for research to be identified that were important to all of these groups. Targeted sampling, information giving prior to the focus groups, careful explanation of confidentiality and the purpose of the exercise and facilitation skills were important for developing a framework that covered the wide breadth of the topic area. The process also raised important questions for nursing and midwifery research. Conceptual difficulties about balancing service-user control and researcher influence, and the authenticity of the data in representing diversity, were limitations of the approach. A final report is available at www.sdo.lshtm.ac.uk/nursingandmidwifery. [ABSTRACT FROM AUTHOR]

This paper examines the psychosocial dimensions of long-term care with reference to the new International Classification of Functioning, Disability and Handicap (ICIDH 2) and to research conducted in Hong Kong. It also draws on selected international literature about older people. It discusses the different ways in which information can be gained about the personal, social and emotional processes of rehabilitation that influence outcomes and raises methodological questions about the study of interventions. Outcomes that are sensitive to psychosocial interventions and that take account of the elderly person's own perspective are identified as important challenges for nurses and other professionals in the multidisciplinary team, in order to respond to an individualized approach to long-term care. It is concluded that gaining a better understanding of the psychosocial dimensions of long-term care will enhance professional practice and benefit older people and their carers. [ABSTRACT FROM AUTHOR]

The role of the emergency nurse practitioner (ENP) has increasingly become part of mainstream healthcare delivery in major accident and emergency departments in the United Kingdom. Although some research data are available in this field, there has been little attempt to evaluate the impact of the implementation of the ENP role from the perspective of those healthcare professionals most closely involved at local level. This paper describes one part of a case study evaluation of the role in an accident and emergency department in the South Thames English region. Nine face-to-face semi-structured interviews were carried out with the key multidisciplinary stakeholders in the organization. Five major themes emerged from the data analysis: blurring role boundaries; managing uncertainty; individual variation; quality vs. quantity; and the organizational context. Whilst some professional consensus was evident regarding the benefits of the role, such as improved waiting times and patient satisfaction, there appeared also to be a degree of ambivalence, particularly regarding current role configuration, value for money, and the extent to which the role should be expanded in the future. These issues are discussed in terms of professional identity, changing role boundaries, and professional personhood. It is argued that the benefits and pitfalls of the ENP role need to be considered within the context of local service provision. The growing emphasis on clinical governance reinforces the need for ongoing audit of role effectiveness in order to meet the challenges and uncertainties of increasingly blurred professional boundaries. [ABSTRACT FROM AUTHOR]

There seems to be an unstoppable enthusiasm and momentum for education that promotes multiprofessional practice in health and social care within the UK. Recent reforms affecting the delivery of health care education and training have created new opportunities for shared teaching and learning. However, there is a complex array of stakeholders with separate and sometimes conflicting agendas, which this paper sets out to clarify and elucidate. Furthermore, it reviews the numerous policy statements that recommend interprofessional education and examines the various assumptions and interpretations of the concept, and discusses the possible reasons for the trends and some of the ensuing tensions. Although this paper addresses issues within the UK which has a National Health Service which directly influences and funds the education and training of its future workforce within Higher Education, the move towards interprofessional working is not unique to this country and it is hoped that this paper may inform policy elsewhere. [ABSTRACT FROM AUTHOR]

Current policy requires systematic and comprehensive assessment of elderly people. Few standardized tools exist for assessment. This paper is in two parts. First it reports on the SAFE assessment measures agreed by a multidisciplinary working party initiated by the Royal College of Physicians and the British Geriatrics Society in 1992. The second part reports the findings of a feasibility study of SAFE in district nursing practice. The outcomes examined were the proportion of patients with completed assessments, the time taken to carry out the assessments, acceptability to the patient, carer and district nurse, and the training required. The findings show that SAFE is a practical and acceptable set of instruments in the assessment of elderly people by district nurses, but that further refinement is desirable. [ABSTRACT FROM AUTHOR]

We develop a framework for controlling and investigating reversible ionic transfer between two solid metal oxides layers by examining field-driven changes in electrical properties of the thin film bilayer oxide system Pr 0.1 Ce 0.9 O 2 /La 1.85 Ce 0.15 CuO 4 (PCO/LCCO). We show that we can reversibly redistribute oxygen ions by applied voltage in a highly controlled and reversible fashion near ambient temperatures over large oxygen ion activity limits, which, for the first time, is directly interpretable by defect chemical models. This allowed us to determine how defect concentrations in each layer systematically varied with voltage and the subsequent impact on each film's conductance. These results showcase the relevance and applicability of defect chemical models, traditionally considered only at elevated temperatures, to the development of bilayer devices of importance to neuromorphic memory applications. This allows for a more systematic approach for studying and understanding the solid-solid exchange process in electrochemically controlled microelectronic devices. Moreover, our work sets the foundation for the development of large-area field-driven defect-controlled bilayer switching devices with potential application to a broad array of functionally modulated devices.

Diffusion processes govern fundamental phenomena such as phase transformations, doping, and intercalation in van der Waals (vdW) bonded materials. Here, the diffusion dynamics of W atoms by visualizing the motion of individual atoms at three different vdW interfaces: hexagonal boron nitride (BN)/vacuum, BN/BN, and BN/WSe 2 , by recording scanning transmission electron microscopy movies is quantified. Supported by density functional theory (DFT) calculations, it is inferred that in all cases diffusion is governed by intermittent trapping at electron beam-generated defect sites. This leads to diffusion properties that depend strongly on the number of defects. These results suggest that diffusion and intercalation processes in vdW materials are highly tunable and sensitive to crystal quality. The demonstration of imaging, with high spatial and temporal resolution, of layers and individual atoms inside vdW heterostructures offers possibilities for direct visualization of diffusion and atomic interactions, as well as for experiments exploring atomic structures, their in situ modification, and electrical property measurements of active devices combined with atomic resolution imaging., (© 2024 The Author(s). Advanced Materials published by Wiley‐VCH GmbH.)

Background: The research environment is a complex ecosystem but is vital for nurturing excellence, vitality and sustainability. The Research Excellence Framework (REF) applies to research in the four nations of the UK. The framework and principles for the next REF have been published, with submissions due in 2028 and the results to be published in 2029. The three elements of the REF have changed and new weightings applied, with 'People, Culture and Environment' forming 25% of the whole., Aim: To inform research leaders, investigators, clinical nurse researchers, and doctoral and postdoctoral students about how to prepare dynamic research strategies that prioritise inclusivity in talent management and succession., Discussion: This article considers inclusivity in research cultures, what has been learned from the previous REF and what more needs to be done collectively across the sector and specifically in nursing. The discussion draws on the author's personal knowledge and experience as a research leader, senior manager and university governor. It is intended to be challenging and practically oriented., Conclusion: The article sets out provocations to shape an agenda for promoting inclusive research cultures to ensure organisational readiness for REF 2029., Implications for Practice: The article provides pragmatic suggestions for moving forward at pace with making the culture in nursing research more open, transparent and fair., Competing Interests: None declared, (© 2024 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.)

Catalyst deactivation through pathways such as sintering of nanoparticles and degradation of the support is a critical factor when designing high-performance catalysts. Here, structural changes of supported nanoparticle catalysts are investigated in controlled gas environments (O 2 , H 2 O, and H 2 ) at different temperatures by imaging simultaneously the nanoparticle structures in 2D projection and the 3D surface-sensitive topography. Platinum nanoparticles on carbon support as a model system are imaged in an environmental transmission electron microscope (ETEM), with concurrent acquisition of high-angle annular dark field scanning TEM (HAADF-STEM) and secondary electron (SE) images. Particle migration and coalescence occurs and shows gas-dependent kinetics, with nanoparticles moving across and through the support during and after coalescence. The temperature required for motion is lower in O 2 than in H 2 O and H 2 , explained through the nature of the gas/nanoparticle interactions. In O 2 and H 2 , the carbon support degrades by trench formation along migration pathways, and the particles move continuously, indicating a chemical reaction between gas and support. In H 2 O gas, motion is more discontinuous and oriented particle attachment occurs, as expected from theoretical predictions. These results suggest that multimodal imaging in ETEM that combines HAADF-STEM and SE data provides comprehensive information regarding catalyst dynamics and degradation mechanisms.

Quantifying the role of experimental parameters on the growth of metal nanocrystals is crucial when designing synthesis protocols that yield specific structures. Here, the effect of temperature on the growth kinetics of radiolytically-formed branched palladium (Pd) nanocrystals is investigated by tracking their evolution using liquid cell transmission electron microscopy (TEM) and applying a temperature-dependent radiolysis model. At early times, kinetics consistent with growth limited is measured by the surface reaction rate, and it is found that the growth rate increases with temperature. After a transition time, kinetics consistent with growth limited by Pd atom supply is measured, which depends on the diffusion rate of Pd ions and atoms and the formation rate of Pd atoms by reduction of Pd ions by hydrated electrons. Growth in this regime is not strongly temperature-dependent, which is attributed to a balance between changes in the reducing agent concentration and the Pd ion diffusion rate. The observations suggest that branched rough surfaces, generally attributed to diffusion-limited growth, can form under surface reaction-limited kinetics. It is further shown that the combination of liquid cell TEM and radiolysis calculations can help identify the processes that determine crystal growth, with prospects for strategies for control during the synthesis of complex nanocrystals., (© 2024 Wiley‐VCH GmbH.)

The exploration of 1D magnetism, frequently portrayed as spin chains, constitutes an actively pursued research field that illuminates fundamental principles in many-body problems and applications in magnonics and spintronics. The inherent reduction in dimensionality often leads to robust spin fluctuations, impacting magnetic ordering and resulting in novel magnetic phenomena. Here, structural, magnetic, and optical properties of highly anisotropic 2D van der Waals antiferromagnets that uniquely host spin chains are explored. First-principle calculations reveal that the weakest interaction is interchain, leading to essentially 1D magnetic behavior in each layer. With the additional degree of freedom arising from its anisotropic structure, the structure is engineered by alloying, varying the 1D spin chain lengths using electron beam irradiation, or twisting for localized patterning, and spin textures are calculated, predicting robust stability of the antiferromagnetic ordering. Comparing with other spin chain magnets, these materials are anticipated to bring fresh perspectives on harvesting low-dimensional magnetism., (© 2024 The Author(s). Advanced Materials published by Wiley‐VCH GmbH.)

The method of salt-assisted vapor-liquid-solid (VLS) growth is introduced to synthesize 1D nanostructures of trichalcogenide van der Waals (vdW) materials, exemplified by niobium trisulfide (NbS 3 ). The method uses a unique catalyst consisting of an alloy of Au and an alkali metal halide (NaCl) to enable rapid and directional growth. High yields of two types of NbS 3 1D nanostructures, nanowires and nanoribbons, each with sub-ten nanometer diameter, tens of micrometers length, and distinct 1D morphology and growth orientation are demonstrated. Strategies to control the location, size, and morphology of growth, and extend the growth method to synthesize other transition metal trichalcogenides, NbSe 3 and TiS 3 , as nanowires are demonstrated. Finally, the role of the Au-NaCl alloy catalyst in guiding VLS synthesis is described and the growth mechanism based on the relationships measured between structure (growth orientation, morphology, and dimensions) and growth conditions (catalyst volume and growth time) is discussed. These results introduce opportunities to expand the library of emerging 1D vdW materials to make use of their unique properties through controlled growth at nanoscale dimensions., (© 2024 The Authors. Advanced Materials published by Wiley‐VCH GmbH.)

van der Waals (vdW) magnetic materials, such as Cr 2 Ge 2 Te 6 (CGT), show promise for memory and logic applications. This is due to their broadly tunable magnetic properties and the presence of topological magnetic features such as skyrmionic bubbles. A systematic study of thickness and oxidation effects on magnetic domain structures is important for designing devices and vdW heterostructures for practical applications. Here, we investigate thickness effects on magnetic properties, magnetic domains, and bubbles in oxidation-controlled CGT crystals. We find that CGT exposed to ambient conditions for 5 days forms an oxide layer approximately 5 nm thick. This oxidation leads to a significant increase in the oxidation state of the Cr ions, indicating a change in local magnetic properties. This is supported by real-space magnetic texture imaging through Lorentz transmission electron microscopy. By comparing the thickness-dependent saturation field of oxidized and pristine crystals, we find that oxidation leads to a nonmagnetic surface layer that is thicker than the oxide layer alone. We also find that the stripe domain width and skyrmionic bubble size are strongly affected by the crystal thickness in pristine crystals. These findings underscore the impact of thickness and surface oxidation on the properties of CGT, such as saturation field and domain/skyrmionic bubble size, and suggest a pathway for manipulating magnetic properties through a controlled oxidation process.

Recent studies dedicated to layered van der Waals crystals have attracted significant attention to magnetic atomically thin crystals offering unprecedented opportunities for applications in innovative magnetoelectric, magneto-optic, and spintronic devices. The active search for original platforms for the low-dimensional magnetism study has emphasized the entirely new magnetic properties of two dimensional (2D) semiconductor CrSBr. Herein, for the first time, the electrochemical exfoliation of bulk CrSBr in a non-aqueous environment is demonstrated. Notably, crystal cleavage governed by the structural anisotropy occurred along two directions forming atomically thin and few-layered nanoribbons. The exfoliated material possesses an orthorhombic crystalline structure and strong optical anisotropy, showing the polarization dependencies of Raman signals. The antiferromagnetism exhibited by multilayered CrSBr gives precedence to ferromagnetic ordering in the revealed CrSBr nanostructures. Furthermore, the potential application of CrSBr nanoribbons is pioneered for electrochemical photodetector fabrication and demonstrates its responsivity up to 30 µA cm -2 in the visible spectrum. Moreover, the CrSBr-based anode for lithium-ion batteries exhibited high performance and self-improving abilities. This anticipates that the results will pave the way toward the future study of CrSBr and practical applications in magneto- and optoelectronics., (© 2023 The Authors. Small Methods published by Wiley‐VCH GmbH.)

Electrostatic capacitors are foundational components of advanced electronics and high-power electrical systems owing to their ultrafast charging-discharging capability. Ferroelectric materials offer high maximum polarization, but high remnant polarization has hindered their effective deployment in energy storage applications. Previous methodologies have encountered problems because of the deteriorated crystallinity of the ferroelectric materials. We introduce an approach to control the relaxation time using two-dimensional (2D) materials while minimizing energy loss by using 2D/3D/2D heterostructures and preserving the crystallinity of ferroelectric 3D materials. Using this approach, we were able to achieve an energy density of 191.7 joules per cubic centimeter with an efficiency greater than 90%. This precise control over relaxation time holds promise for a wide array of applications and has the potential to accelerate the development of highly efficient energy storage systems.

Epitaxial growth is a fundamental step required to create devices for the semiconductor industry, enabling different materials to be combined in layers with precise control of strain and defect structure. Patterning the growth substrate with a mask before performing epitaxial growth offers additional degrees of freedom to engineer the structure and hence function of the semiconductor device. Here, we demonstrate that conditions exist where such epitaxial lateral overgrowth can produce complex, three-dimensional structures that incorporate cavities of deterministic size. We grow germanium on silicon substrates patterned with a dielectric mask and show that fully-enclosed cavities can be created through an unexpected self-assembly process that is controlled by surface diffusion and surface energy minimization. The result is confined cavities enclosed by single crystalline Ge, with size and position tunable through the initial mask pattern. We present a model to account for the observed cavity symmetry, pinch-off and subsequent evolution, reflecting the dominant role of surface energy. Since dielectric mask patterning and epitaxial growth are compatible with conventional device processing steps, we suggest that this mechanism provides a strategy for developing electronic and photonic functionalities., (© 2024. The Author(s).)

Oxidation of transition metal dichalcogenides (TMDs) occurs readily under a variety of conditions. Therefore, understanding the oxidation processes is necessary for successful TMD handling and device fabrication. Here, we investigate atomic-scale oxidation mechanisms of the most widely studied TMD, MoS 2 . We find that thermal oxidation results in α-phase crystalline MoO 3 with sharp interfaces, voids, and crystallographic alignment with the underlying MoS 2 . Experiments with remote substrates prove that thermal oxidation proceeds via vapor-phase mass transport and redeposition, a challenge to forming thin, conformal films. Oxygen plasma accelerates the kinetics of oxidation relative to the kinetics of mass transport, forming smooth and conformal oxides. The resulting amorphous MoO 3 can be grown with subnanometer to several-nanometer thickness, and we calibrate the oxidation rate for different instruments and process parameters. Our results provide quantitative guidance for managing both the atomic scale structure and thin-film morphology of oxides in the design and processing of TMD devices.

Tin oxide (SnO 2 )/zinc oxide (ZnO) core/shell nanowires as anode materials in lithium-ion batteries (LIBs) were investigated using a combination of classical electrochemical analysis and high-resolution electron microscopy to correlate structural changes and battery performance. The combination of the conversion materials SnO 2 and ZnO is known to have higher storage capacities than the individual materials. We report the expected electrochemical signals of SnO 2 and ZnO for SnO 2 /ZnO core/shell nanowires as well as unexpected structural changes in the heterostructure after cycling. Electrochemical measurements based on charge/discharge, rate capability, and electrochemical impedance spectroscopy showed electrochemical signals for SnO 2 and ZnO and partial reversibility of lithiation and delithiation. We find an initially 30% higher capacity for the SnO 2 /ZnO core/shell NW heterostructure compared to the ZnO-coated substrate without the SnO 2 NWs. However, electron microscopy characterization revealed pronounced structural changes upon cycling, including redistribution of Sn and Zn, formation of ∼30 nm particles composed of metallic Sn, and a loss of mechanical integrity. We discuss these changes in terms of the different reversibilities of the charge reactions of both SnO 2 and ZnO. The results show stability limitations of SnO 2 /ZnO heterostructure LIB anodes and offer guidelines on material design for advanced next-generation anode materials for LIBs.

Magnetic transition metal chalcogenides form an emerging platform for exploring spin-orbit driven Berry phase phenomena owing to the nontrivial interplay between topology and magnetism. Here we show that the anomalous Hall effect in pristine Cr 2 Te 3 thin films manifests a unique temperature-dependent sign reversal at nonzero magnetization, resulting from the momentum-space Berry curvature as established by first-principles simulations. The sign change is strain tunable, enabled by the sharp and well-defined substrate/film interface in the quasi-two-dimensional Cr 2 Te 3 epitaxial films, revealed by scanning transmission electron microscopy and depth-sensitive polarized neutron reflectometry. This Berry phase effect further introduces hump-shaped Hall peaks in pristine Cr 2 Te 3 near the coercive field during the magnetization switching process, owing to the presence of strain-modulated magnetic layers/domains. The versatile interface tunability of Berry curvature in Cr 2 Te 3 thin films offers new opportunities for topological electronics., (© 2023. The Author(s).)